A child with cystic fibrosis is receiving pancreatic enzymes as ...

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A child with cystic fibrosis is receiving pancreatic enzymes as part of the treatment plan. Which statement by the parents indicates that they understand how to administer these drugs to their daughter?
 
  A) We will give her the drugs before she eats a meal or snack.
  B) We can open the capsule and sprinkle it on applesauce if necessary.
  C) Her dose will remain the same regardless of how much or what she eats.
  D) If she takes the enzymes, we won't have to give her vitamin supplements.

Question 2

Which of the following would be most appropriate when massaging a woman's fundus?
 
  A) Place the hands on the sides of the abdomen to grasp the uterus.
  B) Use an up-and-down motion to massage the uterus.
  C) Wait until the uterus is firm to express clots.
  D) Continue massaging the uterus for at least 5 minutes.

[Hikerman221]

Answer to Question 1

B
Response:
Capsules may be opened and sprinkled on cereal or applesauce if necessary to help the child swallow the medication. Pancreatic enzymes must be administered with all meals and snacks to promote adequate digestion and absorption of nutrients. The number of capsules (dose) required depends on the extent of pancreatic insufficiency and the amount of food being ingested. The dosage can be adjusted until an adequate growth pattern is established and the number of stools is consistent at one or two per day. Children will need additional enzyme capsules when high-fat foods are ingested. Vitamin supplements are needed in conjunction with pancreatic enzymes to promote adequate digestion and absorption of nutrients.

Answer to Question 2

C
Response:
The uterus must be firm before attempts to express clots are made because application of firm pressure on an uncontracted uterus could lead to uterine inversion. One hand is placed on the fundus and the other hand is placed on the area above the symphysis pubis. Circular motions are used for massage. There is no specified amount of time for fundal massage. Uterine tissue responds quickly to touch, so it is important not to overmassage the fundus.

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TYSM

[pratush dev]

Excellent