A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Which of the following statements by the guardian indicates an understanding of the teaching?
"I will ensure that my child consumes a high-calorie diet."
"I will expect my child to need annual sweat chloride testing."
"I will have my child chew the pancrelipase medication before eating."
"I will administer dornase alfa every 4 hours for wheezing."
The Correct Answer is A
Rationale:
A. A child with cystic fibrosis needs a high-calorie diet to meet their nutritional needs and prevent malnutrition.
B. Sweat chloride testing is used to diagnose cystic fibrosis, not to monitor its progression.
C. Chewing pancrelipase medication before eating is incorrect. Pancrelipase should be swallowed whole with meals to aid in digestion.
D. Administering dornase alfa every 4 hours for wheezing is not appropriate. Dornase alfa is typically used for cystic fibrosis to help thin mucus and improve lung function, but it is not indicated for wheezing, and the dosing frequency provided is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. In many jurisdictions, adolescents have the legal right to consent to testing and treatment for sexually transmitted infections (STIs) without parental involvement. Obtaining written consent from the client is appropriate in this situation.
B. While verbal consent from the social worker may be helpful, the client's own consent is required for STI testing.
C. Depending on local laws and policies, contacting the client's parents for consent may not be necessary or appropriate, especially if the adolescent is seeking confidential care.
D. Postponing testing until the client's parents are present may delay necessary medical care and breach the adolescent's right to confidential healthcare.
Correct Answer is B
Explanation
Rationale:
A. Rolling over from back to abdomen typically occurs around 4 to 6 months of age.
While it may be slightly delayed, it is not usually concerning at 5 months.
B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.
C. Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.
D. The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.
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