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 D
Explanation
Rationale:
A. Balance when standing with eyes closed is primarily related to the vestibulocochlear nerve (cranial nerve VIII), not the trigeminal nerve.
B. The gag reflex is primarily mediated by the glossopharyngeal nerve (cranial nerve IX), not the trigeminal nerve.
C. Identifying specific scents is related to olfaction, which is primarily mediated by the olfactory nerve (cranial nerve I), not the trigeminal nerve.
D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve.
Correct Answer is D
Explanation
Rationale:
A. While informing the client to contact the pharmacy is appropriate, it does not address the immediate need for understanding the medication.
B. Providing instructions to the client's parent may not respect the adolescent's autonomy and privacy regarding their healthcare.
C. Instructing the client's parents to write down the information may not involve the adolescent in the learning process or address their individual needs.
D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding.
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