A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?
"Your child will have chest x-rays periodically to monitor for disease reactivation."
Your child might need to have their tonsils and adenoids removed."
"Your child should take pancreatic enzymes with meals and snacks."
"Your child will take isoniazid for 9 months."
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. While EMLA cream can provide local anesthesia, it takes time to take effect and might not be practical for immediate use before administering immunizations.
B. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and stress during immunizations in infants, promoting atraumatic care.
C. Injecting immunizations into the deltoid muscle is a common practice, but it does not specifically address atraumatic care.
D. Using a smaller gauge needle (e.g., 22-25 gauge) is generally recommended for infants to minimize pain, but specifying a 20-gauge needle is not necessarily related to atraumatic care.
Correct Answer is C
Explanation
Rationale:
A. Storing opened vials of insulin for up to 60 days is incorrect. Insulin should be discarded after the manufacturer's recommended expiration date or within 28 days after opening, whichever comes first.
B. Physical therapy is not typically indicated as part of routine care for adolescents with type 1 diabetes mellitus. However, regular physical activity is encouraged for overall health and blood sugar management.
C. Consulting with a nutritionist is important for adolescents with type 1 diabetes mellitus to receive individualized meal planning guidance, carbohydrate counting education, and dietary recommendations to help manage blood sugar levels.
D. Monitoring capillary blood glucose daily is essential for adolescents with type 1 diabetes mellitus, but it is not the only recommendation. Comprehensive diabetes management includes multiple aspects such as insulin therapy, dietary modifications, physical activity, and regular monitoring of blood glucose levels.
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