A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis

Which response by the nurse is the most appropriate?
1. Steatorrheic stools
2. Constipation
3. Meconium ileus
4. Rectal prolapse


Correct Answer: 3
Rationale: Newborns with cystic fibrosis may present in the first 48 hours with meconium ileus. Steatorrhea, constipation, and rectal prolapse may be signs of cystic fibrosis seen in an older infant or child.

Nursing

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Order: Rifampin 600 mg in 500 mL D5W to infuse at 125 mL/hr. Available: Vial that is labeled rifampin 60 mg/ mL. How many milliliters should be withdrawn from the vial and added to the IV bag? _____

a. 60 mL b. 10 mL c. 1 mL d. 20 mL

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Which of the following is the most important component of the Planning Approach to Community Health (PATCH) model?

a. Ensuring that careful records of the decisions made were kept b. Community participation throughout the process c. Intensive planning by all professionals involved d. Selection of professional outcome measures

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Which assessment finding would cause a concern for a client who had delivered vaginally?

a. Estimated blood loss (EBL) of 500 mL during the birth process b. White blood cell count of 28,000 mm3 postbirth c. Client complains of fingers tingling d. Client complains of thirst

Nursing

Diphenoxylate works by:

A. stimulating mu receptors in the myenteric plexus. B. stimulating the parasympathetic nervous system to increase peristalsis. C. reducing constriction in sphincters. D. increasing the gastrointestinal transit time.

Nursing