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
Choice A reason:
Children with attention deficit hyperactivity disorder (ADHD) benefit from frequent breaks in activities. Short, focused periods of activity followed by breaks can help them maintain attention and focus.
Choice B reason:
While providing long-term goals is important for building self-esteem, it may not directly address the child's learning style associated with ADHD.
Choice C reason:
Administering medication at bedtime may not be the most effective timing for managing ADHD symptoms. The timing and dosing of ADHD medications should be discussed with the child's healthcare provider.
Choice D reason:
Children with ADHD benefit from consistent routines rather than constantly changing ones. A predictable routine can help them feel more organized and focused.
Correct Answer is B
Explanation
Choice A reason:
Fasting is not typically required for an EEG, so this instruction is not necessary.
Choice B reason:
Washing the hair is important before an EEG, as it helps to remove any oils or substances that might interfere with the electrodes' ability to record brain activity.
Choice C reason:
A mild sedative is not a standard part of an EEG procedure.
Choice D reason:
Having a full bladder is not necessary for an EEG.
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