Author Question: The nurse is evaluating teaching provided to a school-age child and parents about the medication ... (Read 114 times)

TVarnum · **on:** Jun 27, 2018

The nurse is evaluating teaching provided to a school-age child and parents about the medication pancrelipase (Cotazym) for cystic fibrosis. Which observation indicates that teaching has been effective?

A) The child chews an enteric form of the medication.
B) The child takes a dose before having an afternoon snack.
C) The father tells the child that diarrhea is expected with this medication.
D) The mother opens the capsule and some medication spills on the fingers.

Question 2

A school-age child with asthma is prescribed cromolyn sodium. What should the nurse include when teaching the child and the parents about this medication? (Select all that apply.)

A) Use this medication with a metered-dose inhaler.
B) Take this medication before an inhaled bronchodilator.
C) Repeat doses of this medication until symptoms subside.
D) This medication is to be used for an acute asthma attack.
E) Wait 1 to 2 minutes between puffs when taking this medication.

TDubDCFL · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
The enzyme replacement pancrelipase (Cotazym) is used for the treatment of cystic fibrosis. Evidence that teaching has been effective is the child taking a dose of the medication before having an afternoon snack because this medication is to be taken before all meals and snacks. The enteric form of the medication should not be chewed. Diarrhea is an adverse effect of this medication and should be reported to the health care provider. This medication should not be spilled on the skin because it may irritate the skin.

Answer to Question 2

A, E
Feedback:
Cromolyn sodium should be used with a metered-dose inhaler, and the child should wait 1 to 2 minutes between puffs when taking this medication. This medication should be taken after a bronchodilator. Doses should not exceed the number of ordered puffs because tolerance can develop. This medication is not effective in an acute attack.