A nurse is providing discharge instructions to the parents of a child with cystic fibrosis. Which statement by the parents indicates a need for further education?

"We should encourage our child to drink plenty of water throughout the day."

"We need to administer all prescribed medications, even if our child seems fine."

"Our child should avoid close contact with other children to prevent infection."

"Regular follow-up appointments with the CF care team are essential for our child's health."

Answer and Explanation

The Correct Answer is C

A) Correct. Staying well-hydrated is important for CF patients to help keep mucus thin and easier to clear.

B) Correct. It's important to administer all prescribed medications as directed to manage the condition effectively.

C) Incorrect. While infection control is important, it is not necessary for the child to avoid close contact with other children. Common-sense hygiene measures should be followed.

D) Correct. Regular follow-up appointments with the CF care team are crucial to monitor the child's health and adjust the treatment plan as needed.

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Correct Answer is A

Explanation

A) Correct. Postural drainage and chest percussion help mobilize and remove thick, sticky mucus from the airways, which is crucial in managing CF.

B) Incorrect. While bronchodilators may be used, they are not the primary therapy for managing CF. Airway clearance techniques like postural drainage are more important.

C) Incorrect. Oxygen therapy should be administered as needed, but it is not required around the clock for all CF patients.

D) Incorrect. Deep breathing exercises should be encouraged regularly, not just during illness, to maintain airway clearance and lung function.

A. Genetic testing B. Chest X-ray C. Pulmonary function test D. Sweat chloride test

Correct Answer is D

Explanation

A) Incorrect. Genetic testing is used to confirm CF but does not directly measure chloride ion concentration in sweat.

B) Incorrect. Chest X-rays may be used to assess lung changes in individuals with CF but are not used to measure chloride ion concentration in sweat.

C) Incorrect. Pulmonary function tests assess lung function but do not directly measure chloride ion concentration in sweat.

D) Correct. The sweat chloride test measures the concentration of chloride ions in sweat and is commonly used to confirm CF. Elevated sweat chloride levels are indicative of CF.

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A nurse is providing discharge instructions to the parents of a child with cystic fibrosis. Which statement by the parents indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a pediatric client with cystic fibrosis. Which respiratory therapy technique should the nurse prioritize to help manage the client's condition?

Correct Answer is A

Explanation

A nurse is educating a client about the diagnostic process for cystic fibrosis (CF). What diagnostic test measures the concentration of chloride ions in sweat and is often used to confirm CF?

Correct Answer is D

Explanation

A nurse is providing education to a client with cystic fibrosis (CF). Which dietary recommendation is most appropriate for the client?

A nurse is educating a client about the inheritance pattern of cystic fibrosis (CF). What information should the nurse provide regarding the likelihood of a child developing CF if both parents are carriers?

A nurse is discussing pancreatic enzyme replacement therapy (PERT) with a client who has cystic fibrosis (CF). What should the nurse emphasize as the purpose of PERT in CF management?

A nurse is educating a client about the etiology of cystic fibrosis (CF). Which statement by the client accurately describes the genetic basis of CF?

A nurse is discussing nutritional management with a client who has cystic fibrosis (CF). What dietary recommendation should the nurse emphasize to optimize nutritional intake in individuals with CF?

A client with cystic fibrosis (CF) asks the nurse about the impact of CF on the respiratory system. What response by the nurse accurately describes the respiratory complications associated with CF?

A nurse is educating a client with cystic fibrosis (CF) about airway clearance techniques. Which of the following airway clearance methods involves the use of a mechanical device to deliver high-frequency chest wall oscillations?

A nurse is explaining the role of the CFTR protein in cystic fibrosis to a client. Which function of the CFTR protein should the nurse highlight?