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 A

Explanation

A) Correct. The sweat chloride test is commonly used for newborn screening for CF. Elevated sweat chloride levels are indicative of CF.

B) Incorrect. Chest X-rays may be used to assess lung changes in individuals with CF but are not a primary diagnostic test, especially in newborns.

C) Incorrect. Pulmonary function tests are used to evaluate lung function but are not typically performed as part of newborn screening for CF.

D) Incorrect. A complete blood count (CBC) is a general blood test and is not specific for CF diagnosis.

A. Genetic testing B. Sweat chloride test C. Chest X-ray D. Pulmonary function test

Correct Answer is D

Explanation

A) Incorrect. Genetic testing is used to confirm the presence of CF gene mutations but is not a measure of lung function.

B) Incorrect. The sweat chloride test is used for CF diagnosis and may not be performed regularly to monitor lung function.

C) Incorrect. Chest X-rays may be used to assess lung changes in individuals with CF, but they do not directly measure lung function.

D) Correct. Pulmonary function tests are commonly performed to assess lung function, monitor disease progression, and guide treatment in individuals with CF.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the diagnostic evaluation of cystic fibrosis (CF). What test is commonly used to screen for CF in newborns shortly after birth?

Correct Answer is A

Explanation

A nurse is discussing the diagnostic evaluation of cystic fibrosis (CF) with a client. What test is commonly performed to assess lung function and monitor disease progression in individuals with CF?

Correct Answer is D

Explanation

A nurse is discussing the role of the cystic fibrosis transmembrane conductance regulator (CFTR) protein with a patient. What is the primary function of the CFTR protein in normal physiology?

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 providing discharge instructions to the parents of a child with cystic fibrosis. Which statement by the parents indicates a need for further education?

A nurse is assessing a client with cystic fibrosis (CF). What respiratory symptom should the nurse expect to find in a client with advanced CF-related lung disease?

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?

A nurse is explaining the pathophysiology of cystic fibrosis (CF) to a newly diagnosed patient. Which statement accurately describes the genetic basis of 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 client with suspected cystic fibrosis (CF) is undergoing diagnostic testing. What diagnostic procedure is often used to confirm CF by analyzing the genetic mutations present?