The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.
Which of the following statements by the parents indicates understanding of the discharge instructions?

These therapies will decrease our child’s resistance to respiratory infections.

These therapies will only be done when our child is showing signs of illness.

These therapies will help to loosen our child’s secretions and allow for better expectoration.

These therapies will allow for the removal of mucus from our child’s GI tract that blocks digestion.

Answer and Explanation

The Correct Answer is C

Choice A rationale

These therapies will decrease our child’s resistance to respiratory infections. This statement is incorrect. The therapies mentioned - chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine - do not directly decrease a child’s resistance to respiratory infections.

Instead, they help manage the symptoms of cystic fibrosis by helping to clear mucus from the lungs, which can improve lung function and reduce the risk of lung infections.

Choice B rationale

These therapies will only be done when our child is showing signs of illness. This statement is incorrect. These therapies are part of the daily management of cystic fibrosis and are typically done regularly, not just when the child is showing signs of illness.

Choice C rationale

These therapies will help to loosen our child’s secretions and allow for better expectoration. This statement is correct. The goal of these therapies is to help clear thick, sticky mucus from the lungs, which can improve breathing and reduce the risk of lung infections.

Choice D rationale

These therapies will allow for the removal of mucus from our child’s GI tract that blocks digestion. This statement is incorrect. While cystic fibrosis can affect the digestive system by causing thick mucus to block the tubes that carry digestive enzymes from your pancreas to your small intestine, the therapies mentioned are primarily used to help clear mucus from the lungs.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale

Providing a detailed technical explanation using medical terminology is not an appropriate action when obtaining informed consent for a child. Medical terminology can be complex and difficult for non-medical professionals to understand. Therefore, it is important to explain the information in a way that is easy for the parents and the child (if appropriate) to understand.

Choice B rationale

Ensuring the parents were not pressured to give consent and the consent forms were provided is an appropriate action when obtaining informed consent for a child. It is important that the decision to consent is made freely and without coercion.

Choice C rationale

Explaining the potential adverse effects and benefits is an appropriate action when obtaining informed consent for a child. Parents must be fully informed about the potential risks and benefits of a procedure or treatment to make an informed decision.

Choice D rationale

Providing alternative options for treatment and explaining the possible risks of negative outcomes is an appropriate action when obtaining informed consent for a child. Parents should be aware of all available treatment options and their potential outcomes to make an informed decision.

A. Pain needs to be managed, as children will not eat or drink when in pain and can quickly become dehydrated. B. Report mild ear pain or bad breath after surgery. C. Your child may eat soft foods, no crunchy foods for the first few days. D. Your child will form scabs on their tonsils as they heal, there is no need to monitor them during this healing period.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Pain management is crucial after a tonsillectomy. Pain can prevent children from eating or drinking, leading to dehydration. Therefore, ensuring that the child’s pain is well managed is an important part of post-operative care.

Choice B rationale

Mild ear pain or bad breath after surgery can be signs of complications such as infection. Therefore, parents should be instructed to report these symptoms if they occur.

Choice C rationale

After a tonsillectomy, the throat is often sore and swollen. Eating soft foods can help prevent further irritation or injury to the throat. Crunchy foods could scratch the healing throat and cause discomfort.

Choice D rationale

While it’s true that scabs will form on the tonsils as they heal, it’s important to monitor them. If a scab dislodges too early, it can cause bleeding. Therefore, this statement is not entirely accurate and should not be included in the discharge instructions.

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The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.Which of the following statements by the parents indicates understanding of the discharge instructions?

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Naxlex Comprehensive Predictor Exams

When assisting in obtaining informed consent for a child, which of the following actions were taken? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

What instructions should the nurse include in the post-operative discharge instructions for a 6-year-old who just had a tonsillectomy? (Select All That Apply)

Correct Answer is ["A","B","C"]

Explanation

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The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.
Which of the following statements by the parents indicates understanding of the discharge instructions?