A nurse is teaching a 10-year-old child how to manage their cystic fibrosis. What medication will the nurse teach the child to take before their lunch break?

Bronchodilator

Digestive enzyme

Mucolytic

Aerosolized antibiotic

Answer and Explanation

The Correct Answer is B

Choice A reason: Bronchodilators are medications that help open the airways in the lungs, making it easier to breathe. They are often used for managing respiratory symptoms in cystic fibrosis, but they are not typically required specifically before meals.

Choice B reason: Digestive enzymes are essential for children with cystic fibrosis to take before meals. These enzymes help the body digest and absorb nutrients from food, which is crucial because cystic fibrosis can impair the pancreas's ability to produce these enzymes naturally.

Choice C reason: Mucolytics are medications that help thin and loosen mucus in the lungs, making it easier to cough up and clear from the airways. While important for managing respiratory symptoms, they are not specifically needed before meals.

Choice D reason: Aerosolized antibiotics are used to treat or prevent lung infections in individuals with cystic fibrosis. They are administered via inhalation and are not tied to meal times but rather prescribed as part of a daily treatment regimen.

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Correct Answer is D

Explanation

Choice A reason: Immediately administering another dose is not advisable as it could lead to an overdose if any amount of the medication has been absorbed.

Choice B reason: Offering a snack and administering another dose is not appropriate, as it could lead to an overdose and the snack may interfere with the absorption of the medication.

Choice C reason: Administering the next dose as ordered without consulting the healthcare provider could result in improper dosing and potential toxicity.

Choice D reason: Contacting the healthcare provider is the safest action. The provider can give specific instructions on how to proceed, including whether another dose should be given and when.

A. My child does not need Factor VIII before a dental cleaning. B. It is okay to use aspirin if my child is in pain or has a fever. C. There are no limitations on the type of activities my child can do. D. Swimming is an appropriate activity for my child.

Correct Answer is D

Explanation

Choice A reason: Haemophilia patients often require Factor VIII replacement therapy before procedures such as dental cleanings to prevent bleeding. The statement that the child does not need Factor VIII before a dental cleaning indicates a misunderstanding of the need for prophylactic treatment.

Choice B reason: Aspirin is contraindicated for children with haemophilia as it can inhibit platelet function and increase the risk of bleeding. The statement that it is okay to use aspirin reflects a lack of understanding of the appropriate pain management for haemophilia.

Choice C reason: While it is important for children with haemophilia to stay active, certain high-impact or contact sports may increase the risk of bleeding and should be avoided. The statement that there are no limitations on the type of activities indicates a lack of awareness about the need to choose safe activities.

Choice D reason: Swimming is a low-impact activity that is generally safe and beneficial for children with haemophilia. It promotes cardiovascular fitness and muscle strength without putting undue stress on the joints or increasing the risk of bleeding. This statement demonstrates an understanding of appropriate activity choices for a child with haemophilia.

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A nurse is teaching a 10-year-old child how to manage their cystic fibrosis. What medication will the nurse teach the child to take before their lunch break?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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