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. Allowing the child to sit on the parent's lap can provide comfort and support during the procedure.
B. While the electrocardiogram (ECG) machine may have alarms, they are not typically related to abnormal heart rhythms during the procedure.
C. ECG leads are typically placed on the chest, not the back.
D. The duration of an ECG is relatively short, usually only a few minutes, so stating that it will take at least 30 minutes may cause unnecessary concern for the parent.
Correct Answer is ["A","B","D","F","G"]
Explanation
Rationale:
A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection.
B. Using a mild detergent for the child's laundry can help minimize irritation to the skin.
C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence.
E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
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