A nurse is caring for a school-age child who has cystic fibrosis.
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s home medication list? Select all that apply.
Meperidine
Dornase alfa
Acetaminophen
Water-soluble vitamins
Pancreatic lipase
Correct Answer : B,D,E
A. Meperidine is a narcotic analgesic used for pain relief and is not typically indicated for the management of cystic fibrosis.
B. Dornase alfa is a medication commonly used in the management of cystic fibrosis to help improve respiratory function by reducing the viscosity of mucus in the airways.
C. While acetaminophen may be used for managing fever or pain in children with cystic fibrosis, it is not specifically indicated as a standard medication for cystic fibrosis management.
D. Children with cystic fibrosis often have deficiencies in fat-soluble vitamins (A, D, E, and K) due to malabsorption. Fat-soluble forms of these vitamins are typically prescribed to address these deficiencies.
E. Pancreatic enzyme replacement therapy, such as pancreatic lipase, is necessary for children with cystic fibrosis who have pancreatic insufficiency. This medication helps improve digestion and absorption of nutrients by replacing the deficient pancreatic enzymes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Providing a warm blanket can help alleviate discomfort associated with fever and chills, which are common symptoms of varicella.
B. Koplik spots are seen in measles, not varicella.
C. Aspirin administration is contraindicated in varicella due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be used for fever.
D. Varicella is spread through respiratory droplets, so standard precautions are typically sufficient. Airborne precautions are necessary to prevent transmission.
Correct Answer is C
Explanation
A. Amphotericin B is an antifungal medication and is not indicated for impetigo, which is a bacterial skin infection.
B. Lidocaine ointment is a local anesthetic and is not indicated for the treatment of impetigo.
C. Impetigo is highly contagious, and contact isolation precautions should be initiated to prevent its spread within the hospital setting.
D. Reporting the disease to the state health department may be necessary for surveillance purposes, but the immediate priority is to implement infection control measures.
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