A nurse is assisting in the care of a child who has cystic fibrosis and a prescription for pancreatic enzymes. Which of the following outcomes is a desired effect of the pancreatic enzymes?

Passing one or two formed stools each day

Maintaining an oxygen saturation of 54% or higher

Maintaining a fasting blood glucose of less than 120 mg/dL (70 to 110 mg/dL)

Losing 0.5 kg per week

Answer and Explanation

The Correct Answer is A

A. Passing one or two formed stools each day is correct. Pancreatic enzymes help improve digestion and nutrient absorption in children with cystic fibrosis. A desired outcome is a reduction in fatty, foul-smelling, bulky stools (steatorrheA. and a more normal stool consistency.

B. Maintaining an oxygen saturation of 54% or higher is incorrect. An oxygen saturation of 54% is dangerously low and not an expected outcome for cystic fibrosis management. Oxygen saturation levels should ideally be above 90%.

C. Maintaining a fasting blood glucose of less than 120 mg/dL (70 to 110 mg/dL) is incorrect. While cystic fibrosis-related diabetes can occur, pancreatic enzyme therapy does not directly regulate blood glucose levels.

D. Losing 0.5 kg per week is incorrect. Weight loss is a sign of malabsorption and poor nutritional status, indicating that pancreatic enzyme therapy may need to be adjusted. The goal is weight maintenance or gain, not loss.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Explanation

Finding	Acute laryngotracheobronchitis	Pneumonia
Fever	✓	✓
Stridor	✓
Type of cough	✓
Irritability	✓	✓

Fever

Acute laryngotracheobronchitis: Yes, fever is common in acute laryngotracheobronchitis, especially in the early stages as the body reacts to infection.
Pneumonia: Yes, pneumonia can also cause fever as the body responds to the infection in the lungs.

 Stridor

Acute laryngotracheobronchitis: Yes, stridor is a hallmark sign of acute laryngotracheobronchitis, particularly during inspiration. It occurs due to swelling and narrowing of the upper airway.
Pneumonia: No, stridor is not typically associated with pneumonia. Pneumonia involves lower respiratory tract infection, and the symptoms usually include cough, fever, and difficulty breathing rather than stridor.

 Type of cough

Acute laryngotracheobronchitis: Yes, a barking, non-productive cough is characteristic of acute laryngotracheobronchitis, often described as a "seal-like" cough.
Pneumonia: No, pneumonia typically presents with a productive cough, often with mucus or sputum.

 Irritability

Acute laryngotracheobronchitis: Yes, irritability is common in toddlers with acute laryngotracheobronchitis, especially when they are struggling to breathe or feel uncomfortable due to the upper airway inflammation.
Pneumonia: Yes, irritability can also be seen in children with pneumonia, as they may be feeling unwell due to fever, difficulty breathing, and chest discomfort

A. Keep the infant at a 30-degree angle front-facing following each feeding. B. Give the infant a bottle immediately before the infant's bedtime. C. Limit the infant's formula feedings to every 6 hours. D. Change the infant's formula to a soy-based formula.

Correct Answer is A

Explanation

A. Keeping the infant at a 30-degree angle after feedings helps prevent reflux by allowing gravity to aid in digestion and reduce regurgitation. This is an effective non-pharmacologic intervention for managing gastroesophageal reflux.

B. Giving a bottle immediately before bedtime can worsen reflux symptoms, as lying flat after feeding increases the risk of regurgitation and discomfort. It is better to feed the infant earlier and keep them upright for some time after feeding.

C. Limiting feedings to every 6 hours is inappropriate for an infant. Infants need frequent feedings (typically every 3-4 hours), and smaller, more frequent feedings can help reduce reflux symptoms.

D. Changing to a soy-based formula is not a standard recommendation for managing reflux unless the infant has a diagnosed cow’s milk protein allergy. Thickened feedings or hypoallergenic formulas may be more beneficial if a formula change is needed.

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A nurse is assisting in the care of a child who has cystic fibrosis and a prescription for pancreatic enzymes. Which of the following outcomes is a desired effect of the pancreatic enzymes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is assisting with the care of a 3-year-old toddler. Exhibits The nurse is reviewing the collected data. For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Explanation

A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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