A nurse is discussing treatment options with a child who has cystic fibrosis.
What pharmacological interventions might be part of the treatment plan for this child?
"You'll need to take bronchodilators as prescribed.”
"Antibiotics are unnecessary for cystic fibrosis.”
"Mucolytics can worsen your condition, so avoid them.”
"Skip the medications; they won't help.”
The Correct Answer is A
"You'll need to take bronchodilators as prescribed.”.
Choice A rationale:
Bronchodilators are commonly prescribed to children with cystic fibrosis to help open airways, making it easier for them to breathe.
These medications assist in relieving airway constriction and improving respiratory function.
Choice B rationale:
Stating that "antibiotics are unnecessary for cystic fibrosis" is incorrect.
Antibiotics are often required for cystic fibrosis patients to treat and prevent respiratory infections, which are common due to the thick mucus buildup in the airways.
Choice C rationale:
Mucolytics are medications that help thin and mobilize mucus in the airways.
Advising the child to "avoid mucolytics" is not appropriate, as these drugs can be beneficial in managing cystic fibrosis by facilitating mucus clearance and reducing the risk of lung infections.
Choice D rationale:
Telling the child to "skip the medications; they won't help" is incorrect and potentially dangerous advice.
Medications prescribed for cystic fibrosis are essential for managing the disease, and skipping them can lead to worsened symptoms and complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Avoiding high-calorie foods to prevent weight gain is not an appropriate nursing intervention for a child with cystic fibrosis.
These children often have difficulty maintaining their weight due to malabsorption, and they may need a high-calorie diet to ensure proper growth and development.
Choice C rationale:
Disregarding the diet's impact on cystic fibrosis is not a valid approach.
Nutrition plays a crucial role in managing the condition, and dietary choices can significantly impact a child's health and well-being.
The statement is inaccurate and should not be followed.
Choice D rationale:
Limiting food intake to avoid digestive issues is not a suitable approach for a child with cystic fibrosis.
While digestive issues can be a concern, it is essential to provide adequate nutrition to support growth and development.
Restricting food intake can lead to malnutrition in these patients.
Correct Answer is B
Explanation
"CF is an autosomal recessive genetic disorder.”.
Choice A rationale:
CF is not inherited through an X-linked dominant pattern.
X-linked inheritance involves genes located on the X chromosome, and CF is not linked to this type of inheritance.
Choice C rationale:
CF is not solely related to inheriting a defective CFTR gene from one parent.
While inheriting a mutated CFTR gene is a factor, CF is an autosomal recessive disorder, meaning it requires mutations in both copies of the CFTR gene (one from each parent) for the disease to manifest.
Choice D rationale:
CF is not solely caused by the deletion of phenylalanine at position 508 (F508del).
While this mutation is one of the most common causes of CF, it is not the only genetic variation associated with the disease.
CF can result from various mutations in the CFTR gene.
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