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. CF primarily affects the pancreas and small intestine, not the stomach.

B) Incorrect. While liver complications can occur in some individuals with CF, such as liver disease or cirrhosis, it is not a primary manifestation of the disease.

C) Correct. CF often results in thickened mucus obstructing the pancreatic ducts, causing pancreatic insufficiency and malabsorption of essential nutrients.

D) Incorrect. CF primarily affects the pancreas and small intestine rather than the large intestine, and chronic constipation is not a typical symptom of CF.

A. "CF is caused by a single gene mutation, which can be inherited from one parent." B. "CF results from a combination of genetic and environmental factors." C. "CF occurs due to an X-linked genetic mutation passed from mother to daughter." D. "CF is primarily caused by exposure to respiratory pathogens during infancy."

Correct Answer is A

Explanation

A) Correct. CF is primarily caused by mutations in a single gene, the CFTR gene, and it can be inherited from one parent, resulting in a carrier state, or from both parents for the disease to manifest.

B) Incorrect. While genetic factors are the primary cause of CF, environmental factors can exacerbate symptoms but are not the root cause.

C) Incorrect. CF is not an X-linked genetic disorder; it follows an autosomal recessive pattern of inheritance.

D) Incorrect. CF is not caused by exposure to respiratory pathogens during infancy; it is primarily a genetic disorder.

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

Correct Answer is C

Explanation

A nurse is educating a client about the etiology of cystic fibrosis (CF). Which statement by the client accurately describes the genetic basis of CF?

Correct Answer is A

Explanation

A nurse is discussing the risk factors for cystic fibrosis (CF) with a client. Which statement accurately identifies a risk factor associated with CF?

A nurse is discussing the pathophysiological consequences of cystic fibrosis (CF) with a client. Which of the following best describes how CF affects the respiratory system?

A nurse is discussing the clinical manifestations of cystic fibrosis (CF) with a newly diagnosed adolescent client. What common respiratory symptom should the nurse emphasize as an early sign 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 nurse is discussing the role of genetic testing in cystic fibrosis (CF) diagnosis with a client. What should the nurse emphasize regarding the importance of genetic testing for 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 explaining the diagnostic process for cystic fibrosis (CF) to a client and their family. What initial diagnostic test is often used to assess CF in infants who exhibit symptoms suggestive of the condition?

A nurse is explaining the role of the CFTR protein in cystic fibrosis to a client. Which function of the CFTR protein should the nurse highlight?