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The nurse is caring for a child with cystic fibrosis. When assisting the child to the toilet, the nurse should not be surprised to find what type of bowel movement?

Medium formed stool with an orange tint

Liquid stool

Small, round pellet shaped stool

Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea)

Answer and Explanation

The Correct Answer is D

A. Medium formed stool with an orange tint: Not typical in cystic fibrosis.

B. Liquid stool: While diarrhea can occur, it is not the hallmark of cystic fibrosis-related malabsorption.

C. Small, round pellet-shaped stool: More indicative of constipation, not cystic fibrosis.

D. Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea): Characteristic of malabsorption caused by pancreatic enzyme insufficiency in cystic fibrosis.

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Correct Answer is C

Explanation

A. Place the child in a sitting position and tilt her head back: Tilting the head back risks blood aspiration or swallowing, which can cause nausea or vomiting.

B. Apply ice at the opening of the nares for 5 minutes and then re-check for bleeding: Ice may help, but direct pressure is the first-line intervention.

C. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min: This is the appropriate action to stop bleeding and prevent blood from entering the airway or stomach.

D. Place the child in a supine position with a pillow under her head: This position is unsafe as it can lead to blood pooling in the back of the throat.

A. Foot B. Forearm C. Earlobe D. Fingertip E. Toe F. Cheek G. Cheek

Correct Answer is ["A","C","D","E"]

Explanation

A. Foot: Suitable for infants or younger children, especially in cases of limited upper extremity access.

B. Forearm: Not a typical placement site for pulse oximetry due to lack of adequate perfusion.

C. Earlobe: Often used when peripheral sites are unreliable, especially in cases of poor circulation.

D. Fingertip: The most common site for older children or adults.

E. Toe: Frequently used in infants or small children.

F. Cheek: Not a standard site for pulse oximeter placement.

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The nurse is caring for a child with cystic fibrosis. When assisting the child to the toilet, the nurse should not be surprised to find what type of bowel movement?

Nursing Test Bank

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Correct Answer is ["A","C","D","E"]

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