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. Lavender oil is commonly used for relaxation and calming effects.
B. Eucalyptus oil is more commonly used for respiratory issues and may not be as suitable for relaxation.
C. Jasmine oil is often used for its pleasant scent but may not have the same relaxation properties as lavender.
D. Tea tree oil is typically used for its antimicrobial properties and may not be as effective for relaxation purposes as lavender.
Correct Answer is D
Explanation
Rationale:
A. Disseminated intravascular coagulation (DIC) is associated with consumption of clotting factors, leading to prolonged clotting times, such as increased prothrombin time (PT) and activated partial thromboplastin time (aPTT), rather than decreased.
B. DIC does not typically cause an increase in hemoglobin (Hgb) levels; in fact, it may lead to anemia due to blood loss and consumption of clotting factors.
C. DIC does not typically cause an increase in red blood cell (RBC) count; if anything, it can lead to anemia due to blood loss.
D. DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies.
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