An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?
Obtaining a sweat chloride test
Reproductive ability
The effect of pancreatic enzymes on sex hormones
Increased need for weight reduction diet
The Correct Answer is B
a) Obtaining a sweat chloride test: Likely already part of routine monitoring for cystic fibrosis.
b) Reproductive ability: Adolescents with cystic fibrosis may need education regarding how their condition can affect fertility.
c) The effect of pancreatic enzymes on sex hormones: Not a commonly discussed aspect in cystic fibrosis care.
d) Increased need for weight reduction diet: Weight maintenance or specific diets to promote weight gain are more commonly addressed in cystic fibrosis care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.
b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.
c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.
d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.
Correct Answer is B
Explanation
a) Immediately packing the nares with cotton with neo-synephrine: Packing the nose immediately is not usually recommended as a first aid measure and should be done by a healthcare professional.
b) Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose: Correct first aid for epistaxis involves tilting the head forward to prevent swallowing of blood, applying pressure below the nasal bone, and using ice to constrict blood vessels.
c) Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose: Tilting the head back can cause blood to flow down the throat and potentially lead to swallowing or choking on blood.
d) Lying the child down and applying a warm pack: Lying down may increase the risk of swallowing blood and should be avoided during a nosebleed.
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