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 D
Explanation
A. Painting pictures in the art corner of the room:
Painting pictures in the art corner can be a fun and creative activity for preschoolers. It allows them to express themselves through art and develop fine motor skills. However, it might not be a group activity unless they are sharing materials and ideas.
B. Watching a movie with other children their age:
Watching a movie can be an enjoyable activity for preschoolers, especially if the content is age-appropriate. However, it is a passive activity, and group interactions might be limited during the movie.
C. Playing a board game:
Playing a board game can be a good group activity that involves turn-taking, following rules, and social interaction. However, some board games may be more suitable for older children who have developed certain cognitive and social skills.
D. Pretending to be mommies and daddies in the playhouse:
Pretend play, such as pretending to be mommies and daddies in a playhouse, is a developmentally appropriate and common activity for preschoolers. It encourages imaginative play, role-playing, and social interaction, helping with emotional and social development.
Correct Answer is B
Explanation
A. At 6 months, you need to quit breast-feeding because he is not getting enough iron or Vitamin C and D and that should help him transition to solids better:
This statement is incorrect. Breastfeeding is recommended for the first six months, and then complementary foods can be introduced while continuing breastfeeding. Breast milk is a primary source of nutrition, and iron and vitamins are typically supplemented as needed.
B. The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron:
This statement is accurate. Iron-enriched rice cereal is often recommended as a first solid food for infants, and vitamin D supplementation is commonly advised, especially for breastfed infants, as breast milk may not provide enough vitamin D.
C. If you give him one or two bottles of juice each day, he should get all the vitamins he needs. You can begin fruits and cereal in 1 month:
This statement is not recommended. Juice is not recommended for infants, especially in large quantities, as it can interfere with proper nutrition and contribute to dental issues. Also, introducing fruits and cereals should be done gradually, following appropriate guidelines.
D. You can begin feeding the infant fruits and vegetables now followed by iron-enriched cereal to ensure that he gets enough iron:
While introducing fruits and vegetables is a part of introducing solids, iron-enriched cereal is often recommended earlier as a source of iron. The recommendation for iron-enriched rice cereal aligns more with the typical guidance for introducing solids to infants.
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