A client with cystic fibrosis (CF) is experiencing a pulmonary exacerbation. What treatment approach should the nurse anticipate to help manage this acute worsening of symptoms?

Initiation of long-term oxygen therapy

Administration of bronchodilators and corticosteroids

Surgical lung transplantation

Recommending bed rest and minimal physical activity

Answer and Explanation

The Correct Answer is B

A) Incorrect. Long-term oxygen therapy is typically reserved for individuals with chronic hypoxemia and is not the primary treatment for a pulmonary exacerbation.

B) Correct. Bronchodilators and corticosteroids are commonly used to manage pulmonary exacerbations in CF by reducing airway inflammation and improving airflow.

C) Incorrect. Surgical lung transplantation is considered in severe cases of CF with irreversible lung damage but is not typically the first-line treatment for a pulmonary exacerbation.

D) Incorrect. Bed rest and minimal physical activity are not recommended as the primary treatment for pulmonary exacerbations; maintaining mobility and airway clearance techniques are important.

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Correct Answer is C

Explanation

A) Incorrect. While monitoring carbohydrate intake is important in CF, limiting carbohydrates is not the primary focus of nutrition management.

B) Incorrect. Increasing sodium intake is not a general recommendation for individuals with CF; it depends on the individual's needs.

C) Correct. Individuals with CF often require a high-calorie diet rich in fats and proteins to address malabsorption and maintain adequate nutrition.

D) Incorrect. Restricting fluid intake is not recommended for individuals with CF, as staying hydrated is important for preventing thickening of mucus.

A. Frequent nosebleeds B. Abdominal pain and bloating C. Rapid weight gain D. Muscle weakness

Correct Answer is B

Explanation

A) Incorrect. Frequent nosebleeds are not common gastrointestinal symptoms in CF.

B) Correct. Abdominal pain and bloating are common gastrointestinal symptoms in CF, often due to the impact of thickened mucus on the pancreas and intestines.

C) Incorrect. Rapid weight gain is not a typical gastrointestinal symptom in CF; individuals with CF often struggle with poor weight gain and malnutrition.

D) Incorrect. Muscle weakness is not a common gastrointestinal symptom in CF but may be associated with other complications.

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A client with cystic fibrosis (CF) is experiencing a pulmonary exacerbation. What treatment approach should the nurse anticipate to help manage this acute worsening of symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing nutritional management with a client who has cystic fibrosis (CF). What dietary recommendation should the nurse emphasize to optimize nutritional intake in individuals with CF?

Correct Answer is C

Explanation

A nurse is caring for a child with cystic fibrosis (CF). What gastrointestinal symptom commonly observed in CF should the nurse be vigilant for?

Correct Answer is B

Explanation

A nurse is educating a client with cystic fibrosis (CF) about airway clearance techniques. Which of the following airway clearance methods involves the use of a mechanical device to deliver high-frequency chest wall oscillations?

A nurse is discussing the impact of cystic fibrosis (CF) on the digestive system with a client. Which statement accurately describes a common gastrointestinal complication of CF?

A nurse is assessing a client with cystic fibrosis. Which clinical manifestation is commonly associated with CF and should be monitored closely?

A client with cystic fibrosis (CF) asks the nurse about the impact of CF on the respiratory system. What response by the nurse accurately describes the respiratory complications associated with CF?

A nurse is teaching a client with cystic fibrosis about airway clearance techniques. Which technique should the nurse recommend that the client perform daily?

A nurse is counseling a couple planning to start a family, and both partners have a family history of cystic fibrosis (CF). What should the nurse advise the couple regarding the genetic risk of having a child with CF?

A nurse is educating a client about the diagnostic process for cystic fibrosis (CF). What diagnostic test measures the concentration of chloride ions in sweat and is often used to confirm CF?

A nurse is explaining the typical clinical manifestations of cystic fibrosis (CF) to a newly diagnosed adolescent client. Which symptom should the nurse emphasize as a hallmark of CF?