A nurse is caring for a school-age child who has cystic fibrosis.

Exhibits

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.

Water-soluble vitamins

Acetaminophen

Dornase alfa

Meperidine

Pancreatic lipase

Answer and Explanation

Correct Answer : A,C,E

Rationale:

A. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies.

B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis.

C. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways.

D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications.

E. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.

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Correct Answer is B

Explanation

Rationale:

A. Retesting in a week may be necessary, but notifying the public health department is a more immediate concern.

B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis.

C. Involving the patient's parents may not be appropriate for a 20-year-old patient.

D. Metronidazole is not typically used to treat syphilis; penicillin or other antibiotics are the standard treatment.

A. Provide an ice pop after administering the medication. B. Give 4 oz of milk with the medication. C. Mix the medication with the child's favorite food. D. Dilute the medication with 8 oz of water.

Correct Answer is A

Explanation

Rationale:

A. This is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste.

B. Giving milk with the medication may not be suitable for all medications, and some medications may interact with dairy products.

C. Mixing the medication with the child's favorite food is not advised because it can alter the taste and texture of the food and make the child dislike it in the future.

D. Diluting the medication with water may not be appropriate for all medications, and it could alter the effectiveness or stability of the medication.

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A nurse is caring for a school-age child who has cystic fibrosis. Exhibits 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.

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A nurse is caring for a school-age child who has cystic fibrosis.

Exhibits

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.