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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Saying that it is okay to use a pencil to scratch inside the cast is incorrect. Inserting objects inside the cast can cause skin irritation, abrasions, or even infection. Instead, the guardian should be advised to use a cool hairdryer or tap the cast lightly to relieve itching.
B. Ensuring the child’s arm does not hang down for more than 30 minutes is correct. Keeping the arm elevated helps prevent swelling and improves circulation, which is especially important in the first few days after casting. Prolonged hanging of the arm can lead to increased swelling and discomfort.
C. Avoiding movement of the fingers while the cast is in place is incorrect. The child should be encouraged to move their fingers to promote circulation and prevent stiffness.
D. Submerging the cast in water for 5 minutes during bath time is incorrect. Even though fiberglass casts are water-resistant, prolonged exposure to water can damage the padding inside the cast and lead to skin irritation or infection. The guardian should keep the cast dry by covering it with a waterproof protector during bathing.
Correct Answer is D
Explanation
A. BUN (blood urea nitrogen) is incorrect. While BUN is used to assess kidney function, it is not a primary test for juvenile idiopathic arthritis (JIA). BUN levels are more relevant in conditions affecting renal function.
B. Potassium is incorrect. Potassium levels are typically monitored for electrolyte imbalances or conditions affecting the heart and kidneys, but they are not a key indicator of JIA.
C. Alanine aminotransferase (ALT) is incorrect. ALT is a liver enzyme used to assess liver function, but it is not directly related to diagnosing JIA. Liver function tests may be relevant if the patient is taking medications that affect the liver, but they are not part of the standard diagnostic workup for JIA.
D. Erythrocyte sedimentation rate (ESR) is correct. ESR is an inflammatory marker that helps assess the level of inflammation in the body. Since JIA is an inflammatory autoimmune disorder, ESR is often elevated and used to monitor disease activity and response to treatment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.