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 C
Explanation
Rationale:
A. Periodic chest x-rays may be done to monitor lung function in cystic fibrosis, but it's not directly related to home care following discharge.
B. Tonsillectomy and adenoidectomy are not routine procedures for cystic fibrosis management unless there are specific indications beyond the disease itself.
C. Pancreatic enzyme replacement therapy with meals and snacks is essential for children with cystic fibrosis to aid in digestion and nutrient absorption due to pancreatic insufficiency, so this statement is crucial for home care.
D. Isoniazid is an antibiotic used to treat tuberculosis (TB), not cystic fibrosis, so this statement is incorrect and not relevant to cystic fibrosis home care.
Correct Answer is C
Explanation
Rationale:
A. Dark brown blood indicates old blood and is not a sign of active bleeding.
B. Drinking through a straw can increase the risk of bleeding after tonsillectomy, so it should be avoided.
C. Frequent swallowing may indicate discomfort or bleeding and should prompt notification of the healthcare provider.
D. Clearing the throat can also increase the risk of bleeding and should be discouraged after tonsillectomy.
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