A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?
Determine the child's heart rate.
Weigh the child daily.
Auscultate the child's breath sounds.
Monitor the child's 180.
The Correct Answer is C
Choice A reason:
Determining the child's heart rate is important for assessing overall cardiovascular health, but it is not specific to evaluating the effectiveness of dornase alfa.
Choice B reason:
Weighing the child daily is important for monitoring overall nutritional status and fluid balance, but it is not specific to evaluating the effectiveness of dornase alfa.
Choice C reason:
Dornase alfa is a medication used to help clear mucus from the airways in individuals with cystic fibrosis. Therefore, auscultating the child's breath sounds for improved air exchange and reduced adventitious lung sounds is a direct way to evaluate the effectiveness of the medication.
Choice D reason:
Monitoring the child's 180 (assuming this is a typo and referring to heart rate) is important, but it is not specific to evaluating the effectiveness of dornase alfa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Being adopted can contribute to various emotional and social challenges for a child, but it is not a direct risk factor for physical maltreatment.
B. Prematurity is identified as a potential risk factor for physical maltreatment. Premature infants may have developmental delays or health issues that can increase stress on caregivers, potentially leading to maltreatment.
C. Myopia does not pose a risk factor for physical maltreatment; it is a common vision issue that does not correlate with maltreatment.
D. Acute otitis media is a common childhood illness and is not associated with an increased risk of physical maltreatment. It may cause discomfort and frustration but does not directly relate to the potential for maltreatment.
Correct Answer is B
Explanation
Choice A reason:
Using a bulb syringe for suctioning is not the appropriate intervention for a choking infant. This may not effectively clear the airway obstruction.
Choice B reason:
Delivering back blows with the infant face down over the rescuer's arm is the recommended action for relieving a choking episode in an infant. This helps to dislodge the obstruction from the airway.
Choice C reason:
Placing the infant in a side-lying position and performing abdominal thrusts is the intervention for a conscious infant who is choking. This is not the appropriate action for an infant showing circumoral cyanosis.
Choice D reason:
Performing a head tilt and chin lift followed by giving rescue breaths is the procedure for providing rescue breaths in infant CPR. It is not the initial intervention for a choking infant.
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