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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Calmly tell the child to stop:

While remaining calm is important, simply telling the child to stop might not be effective during a tantrum. Toddlers experiencing a meltdown might not respond immediately to verbal commands.

B. Distract the child by buying a toy:

Using material objects to distract a child during a tantrum might reinforce the behavior by rewarding it with something desired. It's also not always feasible to buy a toy instantly.

C. Appear to ignore them:

This strategy might involve not engaging directly with the tantrum, which could sometimes help to de-escalate the situation. However, it's crucial to ensure the child is in a safe environment and to offer support if necessary.

D. Place the child in time-out for 3 min:

Time-out can be a useful method for calming down a child. However, its effectiveness depends on the child's age, temperament, and the consistency of applying this method. Time-out might not be suitable for all children, especially for a 2-year-old who might not fully understand the concept.

A. The deciduous teeth falling out B. The beginning of puberty C. The child becoming self-supported D. The fine motor skills fully developed

Correct Answer is B

Explanation

A. The deciduous teeth falling out:

The falling out of deciduous (baby) teeth is a natural part of early childhood development and is not specifically indicative of adolescence. The loss of deciduous teeth usually occurs before the age of 12.

B. The beginning of puberty:

Puberty is the period of physical and sexual development that marks the transition from childhood to adolescence. It involves the development of secondary sexual characteristics, such as breast development in girls and facial hair growth in boys, along with other physical changes.

C. The child becoming self-supported:

Becoming self-supported is a broad concept that can occur at various stages of development and is not a specific marker of the beginning of adolescence. Adolescents may gain increasing independence, but this is a gradual process.

D. The fine motor skills fully developed:

Fine motor skills typically develop during early childhood, and the full development of these skills is not a specific marker for the beginning of adolescence. Fine motor skills involve the coordination of small muscle movements and are important for tasks like writing and drawing.

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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?

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