The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

Playing on the backyard swings and running around outside are exercises our child will really enjoy

Three to four times a day we will perform chest therapy and postural drainage on our child

A high protein, high calorie diet may need to be supplemented with a high-calorie formula

Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements

Answer and Explanation

The Correct Answer is D

A. Playing on the backyard swings and running around outside are exercises our child will really enjoy. Encouraging physical activity is beneficial as it helps with lung function and overall health.
B. Three to four times a day we will perform chest therapy and postural drainage on our child. This is correct and necessary to help clear mucus from the lungs.
C. A high protein, high-calorie diet may need to be supplemented with a high-calorie formula. This is important for meeting the nutritional needs of children with cystic fibrosis due to their higher caloric requirements.
D. Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements. This is incorrect; children with cystic fibrosis typically need pancreatic enzyme supplements with every meal and snack to aid digestion, regardless of appetite or bowel regularity.

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

Explanation

A. Maintain a thermoneutral environment: Helps prevent temperature fluctuations that can stress the heart post-surgery.
B. Accurately measure all intake and output: Ensures fluid balance is carefully monitored to prevent fluid overload or dehydration.
C. Provide for several periods of uninterrupted rest: Reduces metabolic demand, aiding in recovery and healing.
D. Incentive spirometer 10 times every hour: Inappropriate for infants following cardiac surgery, as they are unable to effectively use an incentive spirometer.
E. Encourage periods of bonding: Supports emotional well-being and aids in the infant's overall recovery and development.

A. Ensuring that the client takes care of their ADLS to prevent dependence. B. Ensuring that the client environment is safe to prevent injury. C. Ensuring that the client receives food they like to prevent anxiety. D. Ensuring that the client meets the other patients to prevent social isolation.

Correct Answer is B

Explanation

A. Ensuring that the client takes care of their ADLS to prevent dependence: While promoting independence is important, ensuring safety is a higher priority to prevent immediate harm.
B. Ensuring that the client environment is safe to prevent injury: Safety is the top priority for clients with Alzheimer's due to their increased risk of falls, wandering, and other accidents. A safe environment helps prevent injuries.
C. Ensuring that the client receives food they like to prevent anxiety: Although providing familiar and preferred foods can reduce anxiety, it is not as critical as ensuring a safe environment.
D. Ensuring that the client meets the other patients to prevent social isolation: Social interaction is beneficial, but ensuring safety takes precedence to prevent potential harm.

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The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

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

Explanation

The nurse is caring for a client who is being admitted to the hospital with a neurocognitive disease due to Alzheimer's disease. Which action by the nurse is the priority?

Correct Answer is B

Explanation

Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?

When performing an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?

Which of the following statements is NOT true about baseline fetal heart rates (FHR)?

The nurse knows which congenital cardiac defect is characterized by a mixing of well-oxygenated blood with poorly oxygenated blood.

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After educating a client on use of a diaphragm for contraception, which statement made by the client demonstrates an understanding of the teaching provided?

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