A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?

"My child will take the enzymes following meals."

"My child will take the enzymes to improve her metabolism."

"My child will take the enzymes 2 hours before meals."

"My child will take the enzymes to help digest the fat in foods."

Answer and Explanation

The Correct Answer is D

D. "My child will take the enzymes to help digest the fat in foods."
Cystic fibrosis (CF) affects the exocrine glands, leading to thick and sticky mucus production, which can block the pancreatic ducts. As a result, children with CF have difficulty digesting fats and absorbing fat-soluble vitamins. Pancreatic enzyme replacement therapy (PERT) is prescribed to help improve fat digestion and nutrient absorption. These enzymes are taken with meals and snacks to aid in the breakdown of fats.
The other options are incorrect:
A. "My child will take the enzymes following meals." - This is the correct timing for taking pancreatic enzymes. The enzymes should be taken with meals and snacks, not following meals.
B. "My child will take the enzymes to improve her metabolism." - The purpose of taking pancreatic enzymes is not related to improving metabolism but to assist in fat digestion and nutrient absorption.
C. "My child will take the enzymes 2 hours before meals." - Taking pancreatic enzymes 2 hours before meals is not the recommended timing. They should be taken with meals and snacks to aid in fat digestion while eating.

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Correct Answer is C

Explanation

Severe anemia is a condition characterized by a significant decrease in the number of red blood cells or hemoglobin in the blood, leading to reduced oxygen-carrying capacity. This can result in fatigue, weakness, and shortness of breath in the affected individual.

A red blood cell transfusion is given to a child with severe anemia to increase the number of red blood cells and, consequently, the hemoglobin level in the blood. This helps improve oxygen delivery to tissues and organs, which can lead to increased energy levels and reduced fatigue.

Option A is incorrect because red blood cell transfusion is not given to help the body stop bleeding by forming a clot. Platelets are responsible for clot formation, not red blood cells.

Option B is incorrect because a red blood cell transfusion is not used to fight infections. White blood cells and the immune system are responsible for fighting infections.

Option D is incorrect because a red blood cell transfusion is not given to allow her parents to come to visit her. Transfusions are medical treatments to address specific medical conditions and are not related to visitation rights.

A. increased pain B. Frequent swallowing C. Poor fluid intake D. Drooling

Correct Answer is B

Explanation

Correct answer: B

A. Increased pain: Increased pain is a common and expected finding after a tonsillectomy. The surgical removal of tonsils creates wounds in the throat, which can cause discomfort and pain during the healing process. However, increased pain alone is not a specific manifestation of hemorrhage. Hemorrhage would be indicated by other signs, such as drooling, frequent swallowing, or vomiting blood.

B. Frequent swallowing: This can indicate that the child is swallowing blood, which is a common sign of bleeding at the surgical site. Children might not always show obvious signs of bleeding in the mouth, so frequent swallowing can be a subtle but critical indicator of hemorrhage.

C. Poor fluid intake: Poor fluid intake is a common concern after a tonsillectomy due to postoperative pain and discomfort in the throat. The child may be reluctant to drink or eat initially because of their sore throat. However, poor fluid intake alone is not an indicative sign of hemorrhage. Hemorrhage would present with other symptoms, such as drooling, frequent swallowing, or vomiting blood.

D. Drooling:While drooling can occur due to discomfort, pain, or difficulty swallowing, it is not as specific or immediate a sign of hemorrhage as frequent swallowing.

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A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child with severe anemia requires a unit of red blood cells (RBCs). The nurse explains to the child that the transfusion is necessary to:

Correct Answer is C

Explanation

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

Correct Answer is B

Explanation

A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?

A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?