What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

Pancreatic enzymes.

Water-soluble minerals.

Fat-soluble vitamins.

Salt supplements.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Cystic fibrosis primarily affects exocrine glands, leading to thick, viscous secretions that obstruct the pancreatic ducts. This obstruction prevents the release of pancreatic enzymes (e.g., lipase, amylase, protease) into the small intestine, impairing the digestion of fats, carbohydrates, and proteins, thus requiring exogenous enzyme supplementation.

Choice B rationale

Water-soluble minerals like sodium, potassium, and chloride are generally absorbed through active transport or diffusion in the intestines. While fluid and electrolyte imbalances can occur in CF, the primary digestive issue is enzyme deficiency, not a direct lack of water-soluble mineral absorption, although some may be affected indirectly.

Choice C rationale

Fat-soluble vitamins (A, D, E, K) require pancreatic lipase for their absorption, as they are dissolved in dietary fats. Due to the impaired fat digestion in CF, malabsorption of these vitamins is common, necessitating supplementation, but the fundamental issue addressed by enzymes is overall nutrient digestion, not just vitamins.

Choice D rationale

Salt supplements are often required in cystic fibrosis due to excessive sodium and chloride loss in sweat, particularly during hot weather or exercise. However, salt supplements do not directly facilitate the digestion and absorption of macronutrients; their role is to maintain electrolyte balance and prevent dehydration.

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Correct Answer is D

Explanation

Choice A rationale

Discoloration of tooth enamel is not a primary concern with dry powder inhalers. While some medications can cause oral changes, the main issue with inhaled corticosteroids, often delivered via dry powder inhalers, is localized fungal overgrowth, not direct enamel staining. Good oral hygiene is generally recommended but specifically targets fungal prevention.

Choice B rationale

Halitosis, or bad breath, is not a direct or primary consequence of dry powder inhaler use. While poor oral hygiene can contribute to halitosis, the mechanism for rinsing after inhaler use is to remove residual medication, thereby preventing more significant oral complications like fungal infections.

Choice C rationale

Irritation of oral membranes can occur, but it is not the most significant or common complication that rinsing aims to prevent. Residual powder can cause some local irritation, but the predominant risk with long-term use of inhaled corticosteroids, which are frequently in dry powder inhalers, is opportunistic fungal growth.

Choice D rationale

Rinsing the mouth after using a dry powder inhaler, especially one containing corticosteroids, is crucial to prevent candidiasis. Residual corticosteroid particles in the oral cavity can suppress the local immune response, allowing *Candida albicans*, a yeast normally present in small amounts, to proliferate and cause an oral thrush infection.

A. Community social worker for Meals on Wheels. B. Occupational therapy for job retraining. C. Physical therapy for homebound therapy services. D. Visiting nurses for directly observed therapy.

Correct Answer is D

Explanation

Choice A rationale

While nutrition is important, Meals on Wheels primarily addresses food insecurity and nutritional support for homebound individuals. For tuberculosis, the most critical long-term need is adherence to a complex medication regimen, which is not directly addressed by meal delivery services.

Choice B rationale

Occupational therapy focuses on helping individuals return to work or daily activities, and while long-term illness can impact this, it's not the immediate priority for ensuring effective treatment and preventing drug resistance in tuberculosis management.

Choice C rationale

Physical therapy is concerned with mobility and physical function. While a client with a chronic illness might experience deconditioning, it is not the primary or most critical referral for successful long-term tuberculosis therapy, which heavily relies on medication adherence.

Choice D rationale

Directly observed therapy (DOT) by visiting nurses is crucial for ensuring medication adherence in tuberculosis treatment. This strategy significantly improves treatment completion rates, reduces the development of drug-resistant strains, and prevents further transmission by directly observing clients taking their medications, which is vital for a successful outcome.

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What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent?

Correct Answer is D

Explanation

A client is being discharged on long-term therapy for tuberculosis (TB). What referral by the nurse is most appropriate?

Correct Answer is D

Explanation

The emergency department (ED) manager is reviewing client charts to determine how well the staff perform when treating clients with community-acquired pneumonia. What outcome demonstrates that goals for this client type have been met?

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include?

A nurse observes that a client's anteroposterior (AP) chest diameter is the same as the lateral chest diameter. Which query would the nurse ask the client in response to this finding?

A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.)

A nurse assesses a client with chronic obstructive pulmonary disease. Which Questions would the nurse ask to determine the client's activity tolerance? (Select all that apply.)

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?