The nurse is evaluating teaching provided to a school-age child and parents about the use of pancreatic enzymes for cystic fibrosis. Which observation indicates that teaching has been effective?

The mother opens the capsule and some medication spills on the fingers.

The child takes a dose before having an afternoon snack.

The child chews an enteric form of the medication.

The father tells the child that diarrhea is expected with this medication.

Answer and Explanation

The Correct Answer is B

A. The mother opens the capsule and some medication spills on the fingers:

Pancreatic enzymes are usually taken intact, and their contents are meant to be sprinkled on soft food, not opened and spilled. This observation suggests a misunderstanding of the proper administration.

B. The child takes a dose before having an afternoon snack.

In cystic fibrosis, pancreatic enzyme replacement therapy is commonly used to help digest and absorb nutrients. The enzymes are typically taken with meals and snacks to aid in the digestion of food.

C. The child chews an enteric form of the medication:

Pancreatic enzymes are usually enteric-coated to protect them from stomach acid, and they are not meant to be chewed. Chewing can reduce their effectiveness. This observation indicates a need for clarification on administration.

D. The father tells the child that diarrhea is expected with this medication:

While gastrointestinal side effects can occur with pancreatic enzyme use, persistent diarrhea may indicate a dosage issue or other problems. It's important to address this with the healthcare provider. The statement suggests a potential misunderstanding or need for clarification.

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Correct Answer is D

Explanation

A. Approximately 18 lbs. 6 oz.:

This option represents an overestimation of the expected weight. Doubling the birth weight of 8 lbs. 2 oz. would be 16 lbs. 4 oz., so this choice is higher than the expected weight.

B. Approximately 14 lbs. 8 oz.:

This option represents an underestimation of the expected weight. Doubling the birth weight of 8 lbs. 2 oz. would be 16 lbs. 4 oz., so this choice is lower than the expected weight.

C. Approximately 24 lbs. 4 oz.:

This option represents a significant overestimation of the expected weight. Doubling the birth weight of 8 lbs. 2 oz. would be 16 lbs. 4 oz., so this choice is much higher than the expected weight.

D. Approximately 16 lbs. 4 oz.:

This option is the correct estimate based on doubling the birth weight of 8 lbs. 2 oz. It accurately reflects the expected weight of a 6-month-old child according to developmental milestones.

A. Measles, Mumps, and Rubella (MMR) B. Pneumococcal C. Meningococcal D. Rotavirus (RV)

Correct Answer is A

Explanation

A. Measles, Mumps, and Rubella (MMR):

The first dose of the MMR vaccine is usually administered around 12-15 months of age. Therefore, this vaccine is appropriate for a 15-month-old child's routine health visit.

B. Pneumococcal:

The pneumococcal vaccine is typically given in several doses, with one of the doses recommended around 12-15 months. It's part of the routine immunization schedule for this age range.

C. Meningococcal:

Meningococcal vaccines are not usually part of the routine schedule at 15 months of age unless there are specific risk factors or circumstances that necessitate this vaccination.

D. Rotavirus (RV):

The rotavirus vaccine is administered in multiple doses, usually starting at around 2 months and completing before 8 months of age. By 15 months, the child should have completed the recommended doses.

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The nurse is evaluating teaching provided to a school-age child and parents about the use of pancreatic enzymes for cystic fibrosis. Which observation indicates that teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

Explanation

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