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. Pinto beans are an excellent source of protein but are considered an incomplete protein because they lack some essential amino acids. Combining them with other plant-based foods (e.g., ricE. can create a complete protein.
B. Eggs are a complete protein source, meaning they contain all nine essential amino acids required for growth and development. They are an ideal protein source for preschoolers.
C. Broccoli is a nutritious vegetable but is not a significant source of protein. It provides fiber, vitamins, and minerals but does not contain all essential amino acids.
D. Peanut butter is high in protein but is also an incomplete protein. Like beans, it must be combined with complementary proteins, such as whole grains, to provide all essential amino acids.
Correct Answer is B
Explanation
A. Administering a regular diet is incorrect. While reintroducing a normal diet is important in managing diarrhea, it is not the priority in the acute phase. The toddler must first receive adequate hydration before resuming a regular diet.
B. Initiating IV fluid therapy is correct. In cases of severe dehydration or when the child cannot tolerate oral fluids, IV fluid therapy is the priority to restore fluid and electrolyte balance. Acute diarrhea can quickly lead to dehydration, making fluid replacement the most critical intervention.
C. Administering IV antibiotics is incorrect. Most cases of acute diarrhea in children are viral and do not require antibiotics. Even in bacterial cases, antibiotics are not always indicated unless the child has a severe infection or complications.
D. Initiating oral rehydration therapy is incorrect as the priority action. Oral rehydration therapy (ORT) is preferred for mild to moderate dehydration, but if the toddler is unable to tolerate oral fluids or has severe dehydration, IV fluids are the first-line treatment.
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