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 A
Explanation
Choice B rationale:
Stating that hand hygiene is unnecessary in this case is incorrect.
Hand hygiene is crucial in infection control, especially for individuals with cystic fibrosis who may be more susceptible to infections due to compromised lung function.
Encouraging frequent handwashing is a key preventive measure.
Choice C rationale:
Having a child interact closely with friends and classmates to build immunity is not a recommended strategy for infection control in a child with cystic fibrosis.
Close contact with others can increase the risk of exposure to respiratory infections, which should be minimized.
Choice D rationale:
Avoiding vaccinations is not advisable, as vaccinations are an essential part of preventing various infectious diseases.
While certain vaccinations may need to be discussed with the healthcare provider to account for the child's individual health status, it is generally not recommended to avoid vaccinations as they can help prevent illness.
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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