A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?

Administer water-miscible vitamins A, D, E, and K.

Perform airway clearance therapy prior to bronchodilator medications.

Encourage intake of a high-calorie, high-protein diet.

Use the airway clearance therapy device every 2 hr while awake.

Answer and Explanation

The Correct Answer is B

A. Water-miscible vitamins A, D, E, and K are appropriate for a child with cystic fibrosis, as they are fat-soluble vitamins that the child may not absorb well.

B. Airway clearance therapy should be performed after bronchodilator medications, not before. Bronchodilators help open the airways, which enhances the effectiveness of airway clearance therapy.

C. A high-calorie, high-protein diet is recommended for children with cystic fibrosis due to increased energy needs.

D. Using airway clearance therapy every 2 hours while awake is appropriate and ensures optimal lung function.

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Correct Answer is A

Explanation

A. Impetigo is highly contagious, and contact isolation precautions are necessary to prevent its spread to other patients and healthcare providers.

B. Reporting impetigo contagiosa to the state health department is typically not required unless there is an outbreak, as it is a localized skin infection.

C. Amphotericin B is used for fungal infections, not bacterial skin infections like impetigo. Antibiotics are required for treatment.

D. Lidocaine ointment is used for pain relief but is not indicated for treating impetigo. Antibiotic treatment is required for the condition.

A. Position the child supine at bed time. B. Limit calorie intake to 45 cal/kg/day. C. Weigh the child once per day. D. Increase fluid intake to 2 L/day.

Correct Answer is C

Explanation

A. The child should be positioned in a comfortable position based on their condition, not necessarily supine at bedtime.

B. Calorie intake should be sufficient to support growth, typically 120–150 cal/kg/day for a child with nephrotic syndrome, not restricted to 45 cal/kg/day.

C. Weighing the child once per day helps monitor fluid retention, a key aspect of managing nephrotic syndrome in the acute phase.

D. Fluid intake should be monitored carefully, but a target of 2 L/day is likely excessive for a child in the acute stage of nephrotic syndrome. Fluid restriction may be necessary depending on the child's condition.

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A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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