A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?
"Your child will have chest x-rays periodically to monitor for disease reactivation."
Your child might need to have their tonsils and adenoids removed."
"Your child should take pancreatic enzymes with meals and snacks."
"Your child will take isoniazid for 9 months."
The Correct Answer is C
Rationale:
A. Periodic chest x-rays may be done to monitor lung function in cystic fibrosis, but it's not directly related to home care following discharge.
B. Tonsillectomy and adenoidectomy are not routine procedures for cystic fibrosis management unless there are specific indications beyond the disease itself.
C. Pancreatic enzyme replacement therapy with meals and snacks is essential for children with cystic fibrosis to aid in digestion and nutrient absorption due to pancreatic insufficiency, so this statement is crucial for home care.
D. Isoniazid is an antibiotic used to treat tuberculosis (TB), not cystic fibrosis, so this statement is incorrect and not relevant to cystic fibrosis home care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection.
B. Acyclovir is used to treat viral infections such as herpes simplex virus, not bacterial infections like impetigo.
C. Soaking hairbrushes in boiling water is not necessary for treating impetigo.
D. Soft toys do not need to be sealed in a plastic bag for treating impetigo.
Correct Answer is ["A","C","E"]
Explanation
Rationale:
A. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies.
B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis.
C. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways.
D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications.
E. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.
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