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 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.
Correct Answer is A
Explanation
A. Epiglottitis:
Epiglottitis is an inflammation of the epiglottis, which can result in rapid onset of symptoms such as severe sore throat, high fever, and difficulty breathing. The characteristic position described, with the child preferring to sit up, lean forward, and keep the mouth open, is known as the "tripod position." This is a protective mechanism to maintain a patent airway.
B. Mild asthma:
Asthma is a chronic respiratory condition characterized by recurrent episodes of wheezing, coughing, and shortness of breath. However, the scenario does not describe typical asthma symptoms, and the child's preference for sitting up and leaning forward is more indicative of an airway obstruction.
C. Spasmodic laryngitis:
Spasmodic laryngitis is characterized by sudden episodes of severe respiratory distress, a barking cough, and sometimes stridor. It often occurs at night and is usually not associated with high fever. The child's behavior in the scenario, particularly the preference for sitting up and leaning forward, is not a common feature of spasmodic laryngitis.
D. Acute laryngotracheobronchitis:
Acute laryngotracheobronchitis, or croup, typically presents with a barking cough, stridor, and respiratory distress. It does not usually cause the preference for sitting up and leaning forward as described in the scenario. Croup is more commonly associated with a distinctive cough sound.
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