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The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?

A.

Calcium acetate.

B.

Albuterol inhaler.

C.

Pancreatic enzymes.

D.

Empiric antibiotics.

Answer and Explanation

The Correct Answer is C

A. Calcium acetate is not a standard medication that needs to be given with every meal for children with cystic fibrosis.

B. An albuterol inhaler is used for managing respiratory symptoms, such as bronchoconstriction and wheezing. It's not typically administered with every meal.

C. Pancreatic enzymes are the appropriate medication. Children with cystic fibrosis often have pancreatic insufficiency, which means their pancreas doesn't produce enough enzymes needed for proper digestion. Pancreatic enzyme replacement therapy is essential for these children to help them digest and absorb nutrients from their food. These enzymes should be administered with every meal to ensure effective digestion.

D. Empiric antibiotics are prescribed based on clinical indications and infection status. They are not routinely given with every meal.


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Related Questions

Correct Answer is ["C","E"]

Explanation

C. Manual resuscitation bag: In the case of a child with inspiratory stridor and retractions, there is a concern about airway obstruction. Having a manual resuscitation bag available is crucial to ensure that the child's airway can be effectively managed in case of respiratory distress.

E. An advanced airway kit: If the child's condition worsens and he experiences severe respiratory distress or failure, an advanced airway may be necessary to secure the airway and provide proper oxygenation. Having an advanced airway kit available is important in case intubation becomes necessary.

Incorrect answers:

A. Elbow restraints: Elbow restraints are not typically used during peripheral intravenous line placement. They are used to prevent children from bending their arms excessively after specific surgeries or procedures.

B. The child's favorite toy: While having a favorite toy might help distract the child and reduce anxiety, it is not a critical item needed for the placement of a peripheral intravenous line.

D. A dose of subcutaneous epinephrine: Subcutaneous epinephrine is not used for the placement of an intravenous line. It is typically used to treat severe allergic reactions (anaphylaxis).

F. Nebulized albuterol: Nebulized albuterol is a medication used to treat bronchospasm in conditions such as asthma. While the child is experiencing respiratory distress, the priority is to secure the airway and provide oxygenation, which may involve using a manual resuscitation bag and an advanced airway kit.

Correct Answer is A,B,D,C

Explanation

A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

  1. Remain with the client and call for help.
  2. Place the client in the lateral position
  3. Reorient and reassure the client.
  4. Check the client for injuries.

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