Difficulty: Medium
Average Score: 66%
Simulated
Passage / Scenario
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal coughA nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct answer
B,D
Rationale
The correct answers are B (Dornase alfa) and D (Pancreatic Apase) because they are specific medications used for respiratory and pancreatic conditions in children. Dornase alfa is used in cystic fibrosis to help clear mucus, and Pancreatic Apase aids in digestion. Water-soluble vitamins (A) are typically available over the counter and not usually prescribed. Acetaminophen (C) is a common over-the-counter pain reliever. Meperidine (E) is a narcotic pain medication not commonly used in children due to safety concerns.