The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

Playing on the backyard swings and running around outside are exercises our child will really enjoy

Three to four times a day we will perform chest therapy and postural drainage on our child

A high protein, high calorie diet may need to be supplemented with a high-calorie formula

Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements

Answer and Explanation

The Correct Answer is D

A. Playing on the backyard swings and running around outside are exercises our child will really enjoy. Encouraging physical activity is beneficial as it helps with lung function and overall health.
B. Three to four times a day we will perform chest therapy and postural drainage on our child. This is correct and necessary to help clear mucus from the lungs.
C. A high protein, high-calorie diet may need to be supplemented with a high-calorie formula. This is important for meeting the nutritional needs of children with cystic fibrosis due to their higher caloric requirements.
D. Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements. This is incorrect; children with cystic fibrosis typically need pancreatic enzyme supplements with every meal and snack to aid digestion, regardless of appetite or bowel regularity.

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Correct Answer is D

Explanation

A. Encourage the client to empty her bladder. This might help if the fundus were not midline, but since it is firm and midline, it’s not necessary.
B. Notify the client's provider. Immediate notification is not required for these findings as they are within the expected range postpartum.
C. Increase the frequency of fundal massage. Frequent fundal massage is not necessary since the fundus is already firm.
D. Document the findings and continue to monitor the client. A firm fundus with moderate bleeding and small clots can be normal in the immediate postpartum period. The nurse should document these findings and continue to monitor.

A. I'll expect the plastic ring to fall off by itself within a week B. I'll apply the petroleum jelly to his penis with diaper changes C. I'll make sure his diaper is loose in the front D. I'll wash his penis with warm water and mild soap each day E. I'll call the doctor if I see any bleeding

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

Explanation

A. I'll expect the plastic ring to fall off by itself within a week. This is correct; the Plastibell ring typically falls off within 5-8 days.
B. I'll apply petroleum jelly to his penis with diaper changes. Incorrect for Plastibell, because the plastic ring itself protects the site, and petroleum jelly can interfere with healing.
C. I'll make sure his diaper is loose in the front. This helps avoid pressure and irritation on the circumcised area.
D. I'll wash his penis with warm water and mild soap each day. Incorrect; the area should be kept clean but only water should be used to avoid irritation.
E. I'll call the doctor if I see any bleeding. Any significant bleeding should be reported to the healthcare provider immediately.

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The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of her son's circumcision care? (Select All that Apply.)

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

Explanation

When teaching a menopausal woman who chooses not to use hormone therapy what self-care measure is most important to include?

The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?

A nurse is assessing a postmature infant. Which of the following findings would the nurse expect? (Select All that Apply.)

The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

The nurse is caring for a newborn diagnosed with patent ductus arteriosus. What assessment findings would be consistent with this diagnosis? (Select All that Apply.)

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

You are the nurse providing care for a patient with pelvic inflammatory disease. Which is a priority nursing intervention for this patient?