Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?

Pulmonary secretions are abnormally thick.

Obstruction of the endocrine glands occurs.

Elevated levels of potassium are found in the sweat.

CF is an autosomal dominant hereditary disorder.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Hard candy can help relieve the sensation of thirst without causing fluid overload.
Choice B reason: Measuring capillary glucose is not directly related to managing thirst in SIADH.
Choice C reason: Withholding diuretics without medical advice could be harmful and is not related to managing thirst.
Choice D reason: Providing additional oral fluids may exacerbate fluid retention in SIADH and is not recommended.

A. Ask the client to choose which medication is needed for the pain. B. Document the client's report of pain in the electronic medical record. C. Compare the client's pain scale rating with the prescribed dosing. D. Determine which prescription will have the quickest onset of action.

Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

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Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with chronic syndrome of inappropriate anti-diuretic hormone (SIADH) reports to the nurse that they feel constantly thirsty. Which action should the nurse take?

Correct Answer is A

Explanation

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is D

Explanation

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