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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Haemophilus influenza type b (Hib):
Hib vaccine protects against Haemophilus influenzae type b, which can cause serious infections in young children.
B. Varicella (VAR):
Varicella vaccine protects against chickenpox, a contagious viral infection.
C. Measles, Mumps, and Rubella (MMR):
MMR vaccine protects against measles, mumps, and rubella. This vaccine is typically given around the age of 1 and then again at age 4-6.
D. Meningococcal (MCV4):
Meningococcal vaccine (MCV4) is usually recommended for adolescents, not typically at age 5. It protects against certain strains of bacteria that can cause meningitis.
E. Hepatitis B (Hep B):
Hep B vaccine protects against hepatitis B, a viral infection that can cause liver disease.
Correct Answer is A
Explanation
A. “I feel better knowing that her curiosity is normal.”
This comment reflects an understanding and acceptance of the normal curiosity and exploration that is part of sexual development in children. It acknowledges that curiosity about one's body is a natural aspect of growing up.
B. “When I find my son masturbating, I will tell him that is unacceptable.”
This statement may convey a negative and shaming attitude toward a normal behavior. It is important to approach discussions about masturbation with sensitivity and openness, emphasizing privacy and appropriate contexts.
C. “I will tell my daughter that she will have time to explore her body as she gets older.”
This statement acknowledges the importance of age-appropriate discussions about sexual development. It conveys a supportive and understanding approach to the child's evolving understanding of their body.
D. “I will encourage my son to ask his father any questions that are sexual in nature.”
While open communication is essential, it's important to create an environment where the child feels comfortable talking to both parents about sexual development. Encouraging communication with both parents is a positive approach.
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