A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Dietitian
Physical therapist
Speech-language pathologist
Occupational therapist
The Correct Answer is B
A. A dietitian is essential for managing cystic fibrosis because CF often leads to malabsorption of nutrients and requires a high-calorie, high-fat diet to support growth and maintain weight. Children with CF may also need enzyme supplements to aid in digestion. However, this can be done after addressing the respiratory concerns.
B. Regular physical therapy is important for helping the child with respiratory exercises and techniques to clear mucus from the lungs, as well as improving overall physical conditioning and endurance. Physical therapy helps manage and prevent complications related to lung function, which is a key concern in CF.
C. A speech-language pathologist can be helpful in assessing and treating communication and swallowing disorders but they are not typically the primary focus in the management of cystic fibrosis unless the child has specific issues related to speech or swallowing that are not common in CF.
D. An occupational therapist helps children develop skills for daily living and fine motor skills. While this can be beneficial for children with various conditions, it is not usually a primary focus for a child with cystic fibrosis unless there are specific concerns related to fine motor skills or activities of daily living.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Some corticosteroids can affect potassium levels, prednisone typically doesn't cause significant potassium loss. Therefore, limiting potassium-rich foods is unnecessary.
B. Prednisone suppresses the immune system, increasing the risk of infection. Therefore, it's crucial to monitor for signs of infection, such as fever, sore throat, or unusual discharge.
C. While growth spurts are common in childhood, prednisone doesn't directly cause them.
D. Gastrointestinal upset can be a side effect of prednisone, but abruptly stopping the medication can be harmful. The parent should contact the healthcare provider if this occurs.
Correct Answer is A
Explanation
A. The doll's eye reflex, or oculocephalic reflex, is a normal reflex in infants up to about 2 months of age. It involves the eyes moving in the opposite direction of head movement. By 4 months of age, this reflex
typically disappears as the infant’s voluntary eye movements become more developed. Therefore, if the
B. By 4 months of age, it is normal for an infant to show significant reduction in head lag when pulled to a sitting position. Ideally, the infant should be able to hold their head up with minimal lag.
C. The Babinski reflex is a normal reflex in infants, where the toes fan out when the sole of the foot is stroked. This reflex is expected to be positive in infants up to about 12-24 months of age. By 4 months, a positive Babinski reflex is still normal and does not indicate a problem.
D. Infants typically start producing tears around 2-3 months of age. By 4 months, the presence of tears when crying is a normal developmental milestone and indicates healthy lacrimal gland function. Therefore, this finding is normal and does not need to be reported to the provider.
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