The nurse case manager is conducting a home visit for a family with an 11-month-old infant. When reviewing the infant's dietary intake, which food choice by the family requires further education by the nurse?

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.

Choice A reason: Discussing screening for diabetes is appropriate as pre-diabetes in a newly pregnant patient requires careful monitoring and management to prevent the development of gestational diabetes. Early detection and intervention can improve outcomes for both the mother and the baby.

Choice B reason: A one-hour glucose test is typically part of the gestational diabetes screening process, but it is not necessary to fast overnight specifically for the initial discussion and planning. The timing and preparation for specific tests will be guided by the healthcare provider.

Choice C reason: Eliminating sugar from the diet can be part of managing pre-diabetes, but it is not the immediate response to finding pre-diabetes in a newly pregnant patient. A more comprehensive approach will be discussed with the primary care provider.

Choice D reason: A three-hour glucose tolerance test is a diagnostic test for gestational diabetes, which may be recommended later if initial screening results warrant it. It is not typically performed immediately without prior discussion and planning with the healthcare provider.