J.R., a 13-year-old with cystic fibrosis (CF), is being seen in the outpatient clinic for a biannual evaluation
J.R. lives at home with his parents and 7-year-old sister, C.R., who also has CF. J.R. reports that he "doesn't
feel good," explaining that he has missed the last week of school, doesn't have any energy, is coughing
more, and is having "a hard time breathing."
Discuss additional data that should be obtained from J.R. and his parents.
• J.R.'s daily respiratory routine: frequency of chest physiotherapy [CPT] and inhalation treatments
including medications used, medication management, supplemental vitamins
• Nutritional and gastrointestinal (GI) assessment: intake, use of supplements including pancreatic
enzymes, a description of his bowel movements (float or sink), date of last hospitalization
• Exercise: type, frequency, duration
• Last illness, school attendance, and number of days missed because of illness
• Any recent exposures to sick contacts
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A patient reports severe pain after an abdominoperineal resection. What position should the nurse assist this patient into in order to promote comfort?
a. Side-lying b. Supine c. Prone d. Semi-Fowler
A school-age child with a fractured leg is crying. The child will not move the extremity, lies very still, and denies the presence of pain. What should the nurse recognize as the possible reason for this child's behavior?
A) The child is scared. B) The child is afraid of the hospital and personnel. C) An injection was given for pain in the emergency room. D) The child is anticipating punishment for breaking the leg.
The most critical requirement for a burn client is:
1. Protein for healing 2. Fluid for replacement 3. Carbohydrate to spare protein 4. Fat for kilocalories
Where does lengthening of the long bones occur?
1) Epiphyses 2) Shaft 3) Cartilage 4) Osteoclasts