A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse expect to include in the plan of care? (Select all that apply)

Albuterol

Loperamide

Tobramycin

Dornase alfa

Fat-soluble vitamins

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Albuterol is a bronchodilator used to relieve breathing difficulties, which are common in cystic fibrosis.

Choice B reason: Loperamide is an anti-diarrheal medication and is not typically used in the management of cystic fibrosis.

Choice C reason: Tobramycin is an antibiotic that can be nebulized to treat lung infections in cystic fibrosis patients.

Choice D reason: Dornase alfa is an enzyme that helps to thin mucus, improving lung function in cystic fibrosis patients.

Choice E reason: Fat-soluble vitamins are essential in cystic fibrosis due to malabsorption issues associated with the disease.

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Correct Answer is B

Explanation

Choice A reason: While administering vitamins and minerals is important, it does not provide complete nutrition, especially for a client with such extensive burns and absent bowel sounds.

Choice B reason: This is the correct choice because total parenteral nutrition (TPN) provides complete nutrition intravenously, bypassing the gastrointestinal tract, which is necessary when bowel sounds are absent, indicating a non-functioning GI system.

Choice C reason: Enteral feedings require a functioning GI tract. With absent bowel sounds, this indicates a high risk for complications like aspiration or feeding intolerance.

Choice D reason: Encouraging oral intake is not feasible for a client with extensive burns and absent bowel sounds due to the high risk of inadequate intake and aspiration.

A. Increased urinary output B. Nasal flaring C. Peripheral edema D. Bradycardia

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

Explanation

Choice A reason: Increased urinary output is not typically associated with heart failure. In fact, reduced urinary output may be expected due to decreased kidney perfusion.

Choice B reason: Nasal flaring is a sign of respiratory distress and can be expected in infants with heart failure as they struggle to maintain oxygenation.

Choice C reason: Peripheral edema is a common finding in heart failure due to fluid retention and poor circulation.

Choice D reason: Bradycardia is not a typical sign of heart failure in infants; tachycardia is more common. However, bradycardia can occur in advanced stages due to poor cardiac output.

Choice E reason: Cool extremities are indicative of poor perfusion, which is a consequence of decreased cardiac output in heart failure.

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A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse expect to include in the plan of care? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has just been admitted with a 60% total body surface area (TBSA) burn injury. The nurse notes absent bowel sounds in all quadrants. To maintain adequate nutrition, which action should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

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