A nurse is teaching a group of parents about managing cystic fibrosis (CF) in children.
Which of the following interventions should the nurse include in the teaching? (Select all that apply).
Encourage physical activity and exercise.
Administer pancreatic enzyme replacement therapy.
Restrict fluid intake to reduce mucus production.
Teach airway clearance techniques.
Promote a high-fat, high-calorie diet.
Correct Answer : A,B,D,E
Choice A rationale:
Encouraging physical activity and exercise is important in managing CF.
It helps improve lung function and overall health in individuals with CF.
Choice B rationale:
Administering pancreatic enzyme replacement therapy is a crucial part of CF management.
CF often affects the pancreas, leading to malabsorption, and these enzymes help digest and absorb nutrients properly.
Choice C rationale:
Restricting fluid intake to reduce mucus production is not a recommended intervention for CF.
Hydration is essential to keep mucus from becoming too thick and sticky.
Dehydration can worsen mucus obstruction.
Choice D rationale:
Teaching airway clearance techniques is essential in CF management.
It helps individuals clear the thick mucus from their airways, promoting better lung function.
Choice E rationale:
Promoting a high-fat, high-calorie diet is important for individuals with CF.
CF often leads to malnutrition, and a high-calorie diet helps maintain proper nutrition and growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
"The CFTR gene mutation impairs chloride and water transport in cells.”.
Choice A rationale:
The CFTR gene mutation does not cause excessive water transport in the body.
In fact, CF leads to a defect in chloride and water transport in cells, which results in the production of thick mucus.
Choice B rationale:
CF does not result in an overproduction of a specific enzyme that thickens mucus.
Instead, it affects the functioning of the CFTR protein, which is responsible for maintaining the balance of chloride and water in cells.
Choice D rationale:
CF does not primarily affect the production of surfactant in the lungs.
Surfactant is a substance that helps prevent the collapse of alveoli in the lungs, and CF primarily affects the mucus and airway clearance, not surfactant production.
Correct Answer is C
Explanation
Choice A rationale:
"CF leads to excessive production of digestive enzymes in the pancreas.”.
This statement is not accurate.
In fact, CF impairs the production of digestive enzymes in the pancreas.
The thick mucus produced in CF can block the pancreatic ducts, preventing the release of enzymes needed for proper digestion.
Choice B rationale:
"CF has no impact on the function of the pancreas.”.
This statement is incorrect.
CF significantly affects the function of the pancreas by obstructing the pancreatic ducts and impairing the production of digestive enzymes.
Choice C rationale:
"CF impairs the pancreas's ability to produce digestive enzymes.”.
This statement is accurate.
CF causes the thick and sticky mucus to accumulate in the pancreas, obstructing the release of digestive enzymes, which are essential for the digestion of fats and proteins.
Choice D rationale:
"CF causes the pancreas to produce excessive insulin.”.
This statement is not correct.
CF does not lead to excessive insulin production.
Instead, it primarily affects the production of digestive enzymes and can lead to issues related to fat malabsorption.
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