The nurse is evaluating teaching provided to a school-age child and parents about the use of pancreatic enzymes for cystic fibrosis. Which observation indicates that teaching has been effective?
The mother opens the capsule and some medication spills on the fingers.
The child takes a dose before having an afternoon snack.
The child chews an enteric form of the medication.
The father tells the child that diarrhea is expected with this medication.
The Correct Answer is B
A. The mother opens the capsule and some medication spills on the fingers:
Pancreatic enzymes are usually taken intact, and their contents are meant to be sprinkled on soft food, not opened and spilled. This observation suggests a misunderstanding of the proper administration.
B. The child takes a dose before having an afternoon snack.
In cystic fibrosis, pancreatic enzyme replacement therapy is commonly used to help digest and absorb nutrients. The enzymes are typically taken with meals and snacks to aid in the digestion of food.
C. The child chews an enteric form of the medication:
Pancreatic enzymes are usually enteric-coated to protect them from stomach acid, and they are not meant to be chewed. Chewing can reduce their effectiveness. This observation indicates a need for clarification on administration.
D. The father tells the child that diarrhea is expected with this medication:
While gastrointestinal side effects can occur with pancreatic enzyme use, persistent diarrhea may indicate a dosage issue or other problems. It's important to address this with the healthcare provider. The statement suggests a potential misunderstanding or need for clarification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rubella:
Rubella, also known as German measles, typically presents with a rash that starts on the face and spreads to the trunk and limbs. It does not cause Koplik spots, the small red spots with a blue-white center mentioned in the scenario.
B. Varicella:
Varicella, or chickenpox, is characterized by an itchy rash that progresses to fluid-filled vesicles. It does not typically involve Koplik spots, and the scenario doesn't describe a vesicular rash.
C. Rubeola (Measles):
Rubeola, or measles, presents with symptoms such as high fever, cough, rhinitis, and conjunctivitis. The characteristic Koplik spots, small red spots with a blue-white center, often appear on the buccal mucosa. This matches the description in the scenario.
D. Infectious Mononucleosis:
Infectious Mononucleosis is characterized by symptoms like fever, sore throat, and swollen lymph nodes. It does not present with the specific buccal membrane spots seen in measles, and the scenario does not mention other typical signs of infectious mononucleosis.
Correct Answer is ["B","C","D","E"]
Explanation
A. “We will keep our household hot water heater at 130 degrees.”
The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.
B. “We will place poisonous substances in a high cupboard.”
Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.
C. “We will place a gate at the top and bottom of stairways.”
Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.
D. “We will put plastic fillers in all electrical plugs.”
Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.
E. “We will turn handles of pans on the stove toward the back of the stove.”
Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today