Which statement, if made by parents of a child with cystic fibrosis, indicates that they understood the nurse's teaching on pancreatic enzyme replacement?
a. "Enzymes will improve my child's breath-ing.".
b. "I should give the enzymes 1 hour after meals.".
c. "Enzymes should be given with meals and snacks.".
d. "The enzymes are stopped if my child begins wheezing.".
C
Children with cystic fibrosis need to take enzymes with all food for adequate absorption of nutrients. Pancreatic enzymes do not affect the respiratory system and are taken within 30 minutes of eating all meals and snacks. Giving the medication 1 hour after meals is inappropriate and ineffective for absorption of nutrients. Wheezing is not a reason to stop taking enzyme replacements.
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A manager has documentation to suspect substance abuse by a nurse. The manager meets with HR (human resources) director to determine which course of action should be taken to abide by the organization?s policies
Which of the following statements by the HR director would be appropriate? 1. ?We should meet with the nurse and offer assistance through the employee assistance program.? 2. ?We should confront the employee and discuss involuntary or voluntary termination.? 3. ?You need to meet with this nurse and confront her about these behaviors.? 4. ?We need to set up a counseling session with a psychologist and this nurse.?
The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to:
a. stagger and need support of a walker. b. shuffle with arms flexed. c. fall over to one wide when walking. d. take small steps balanced on the toes.
Mandatory overtime raises ethical issues about patient and nurse safety. How does voluntary overtime affect these issues?
1. There is no effect since the nurse has chosen to work overtime. 2. Nurses working overtime shifts are given smaller patient loads to protect safety. 3. It requires nurse managers to be vigilant concerning safety. 4. It is also outlawed in states controlling mandatory overtime.
When a client with arterial insufficiency complains of being awakened at night by pain in the legs, the nurse would recommend that the client sleep
a. after exercising for 10 to 15 minutes. b. in a recliner with feet dependent. c. propped up by several pillows. d. with legs covered by an extra blanket.