Karen is an 16 year old with Cystic Fibrosis (CF).  She was…

Karen is an 16 year old with Cystic Fibrosis (CF).  She was diagnosed at age 4 after a long series of respiratory infections and failure to thrive.  She is currently in the hospital for a “tune-up” after presenting to the outpatient clinic w/ a significant reduction in her baseline PFTs.  She’s also experienced a 3 lb. weight loss in the last month.  She was discharged from her last hospitalization 12 weeks ago.  She was hospitalized for 4 weeks at that time. She is quiet, moody, and refusing to eat and go to physical therapy. Please answer the following questions: 1. What is the primary purpose of admitting Karen (or any CF patient) for a “tune-up”? [answer1] 2. Which nursing intervention is the highest priority of the admitting nurse for this patient? [answer2] 3.. Karen takes pancreatic enzymes with each snack and meal.  What is the pathophysiology that necessitates the use of these enzymes in patients with CF? [answer3]    

A child status/post (s/p) Open Reduction Internal Fixation o…

A child status/post (s/p) Open Reduction Internal Fixation of the left elbow due to a supracondylar fracture is complaining of (c/o) pain 5/10 on the numeric scale. Child’s weight: 37 pounds. Dose ordered: Morphine 1.68mg IVP Q 4 hours prn pain greater than or equal to 5. Dose on hand in the pyxis: 4mg/2mL          Safe dose: 0.5 to 0.2mg/kg every 4 hours prn How many mLs of Morphine will you administer? (Round to the nearest hundredth)