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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Free Nursing Study Resources

Correct Answer is ["1.75"]

Explanation

To administer the correct dose of ampicillin IM, the nurse needs to calculate the amount of solution to draw up from the vial.

The vial contains 1 g of ampicillin in 5 mL of solution, which means that each mL has 200 mg of ampicillin.

To get 350 mg of ampicillin, the nurse needs to divide 350 by 200, which gives 1.75.

Therefore, the nurse needs to draw up 1.75 mL of solution for an IM injection.

A. Playing in an organized group with each other B. Playing independently and are side by side C. Playing apart from others without being part of a group D. Playing together in an activity without organization

Correct Answer is B

Explanation

A. Playing in an organized group with each other:

Toddlers typically engage in parallel play rather than organized group play. They may play near each other, but their interactions are often individual rather than coordinated in an organized group.

B. Playing independently and are side by side:

This is an accurate description of parallel play. Toddlers often play independently but are aware of and interested in what their peers are doing. They may play side by side without direct interaction.

C. Playing apart from others without being part of a group:

This option describes solitary play, where a child plays alone and does not actively engage with others. While solitary play is also common, parallel play is more characteristic of toddlers.

D. Playing together in an activity without organization:

This may describe a form of cooperative play, where children engage in an activity together. However, for toddlers, the organized aspect of play is less typical. Parallel play, where they play side by side but independently, is more common.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician has ordered 350 mg of ampicillin IM. The ampicillin is available as 1 g/5 mL. How many mLs does the nurse need to draw up for an IM injection?

Correct Answer is ["1.75"]

Explanation

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Correct Answer is B

Explanation

An infant weighing 6 pounds 3 ounces has morphine 0.5 mg IV q 2 hours prn ordered for post op pain. The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. Prove mathematically the ordered dose by the physician (mg/kg/dose) and is it safe to give.

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Which common childhood communicable disease may cause severe defects in the fetus when it occurs in its congenital form?

The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis?

The nurse is caring for a toddler with acute laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

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