A nurse is teaching the parents of a 10-year-old child diagnosed ...

[Pineappleeh]

A nurse is teaching the parents of a 10-year-old child diagnosed with cystic fibrosis. Which instruction by the nurse is most appropriate?
 
  A.
  For Pseudomonas infections, we can use penicillin antibiotics.
  B.
  Preventing respiratory infections is crucial for quality of life.
  C.
  Unfortunately, your child is sterile and unable to have children.
  D.
  With pancreatic enzymes, vitamin replacement is not needed.

Question 2

A father brings his 1-year-old son to the clinic and states that when he kisses the child's cheek, it tastes salty. Which diagnostic test does the nurse educate the father on based on the father's statement?
 
  A.
  Large bowel barium series
  B.
  Pancreatic enzyme analysis
  C.
  Pulmonary function studies
  D.
  Quantitative sweat chloride test

[CourtneyCNorton]

Answer to Question 1

ANS: B
Cystic fibrosis (CF) is characterized by frequent, severe respiratory infections, often caused by Pseudomonas, which is treated with tobramycin (TOBI) or azithromycin (Zithromax). Preventing respiratory infections is a crucial part of caring for the child with CF. Reproduction is often affected in people with CF, but without testing, it is impossible to say that the child is sterile. Vitamin replacement is needed along with pancreatic enzyme replacement.

Answer to Question 2

ANS: D
Salty-tasting sweat and tears are a characteristic finding in cystic fibrosis. The diagnostic test for this disorder is the quantitative sweat chloride test. Pancreatic enzyme studies are invasive and not usually performed on children. Pulmonary function studies are done in older children who can cooperate. Large bowel barium studies are not needed.

[Pineappleeh]

Gracias!

[sultana.d]

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