Nokea
What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- A. Pancreatic enzymes
- B. Water-soluble minerals
- C. Fat-soluble vitamins
- D. Salt supplements
Correct Answer: A
Rationale: An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce.
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The nurse describes the 'allergic salute' as a cluster of what signs related to chronic allergy? (Select all that apply.)
- A. Mouth breathing
- B. Transverse nasal crease
- C. Dark circles under the eyes
- D. Productive cough
- E. Reddened conjunctiva
Correct Answer: A,B,C,E
Rationale: The allergic salute does not include a productive cough.
The nurse is caring for a toddler with acute laryngotracheobronchitis. Which assessment finding would indicate the child is experiencing increased respiratory obstruction?
- A. Restlessness
- B. Tachycardia
- C. Brassy cough
- D. Expiratory wheezing
Correct Answer: A
Rationale: Restlessness is a primary sign of increased respiratory obstruction.
After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for __ months.
Correct Answer: 9
Rationale: Antiviral medications for RSV can interfere with the immune response to vaccinations, requiring a 9-month delay.
Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?
- A. Provide chest physiotherapy before meals every day.
- B. Assess weight monthly.
- C. Administer pancreas with protein food at mealtime.
- D. Ensure high-protein, high-calorie diet.
Correct Answer: D
Rationale: The maintenance of adequate nutrition is essential. The diet is high in protein and calories.
The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely. What does the nurse recognize as the cause of these symptoms?
- A. Severe asthma attack
- B. Allergic response to theophylline
- C. Onset of bronchitis
- D. Drug toxicity
Correct Answer: D
Rationale: The symptoms described are the signs of theophylline toxicity.