A nurse is assessing a child with cystic fibrosis.
The child presents with chronic cough, wheezing, and recurrent respiratory infections.
What should the nurse expect to find during this assessment?

"I have difficulty breathing when I'm playing outside.”

"My fingers and toes look round and wide.”

"My stools are greasy and float in the toilet.”

"I often have trouble controlling my blood sugar.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"I have difficulty breathing when I'm playing outside.”.

This statement may be relevant to a respiratory assessment in a child with CF but does not address the typical gastrointestinal symptoms associated with the condition, such as greasy stools.

Choice B rationale:

"My fingers and toes look round and wide.”.

This statement is not related to the typical symptoms of CF.

The characteristic physical findings in CF are often related to respiratory and gastrointestinal issues rather than finger and toe appearance.

Choice C rationale:

"My stools are greasy and float in the toilet.”.

This statement is an accurate description of one of the common gastrointestinal symptoms of CF.

CF can lead to malabsorption of fats, resulting in greasy, foul-smelling stools that float in the toilet due to their high fat content.

Choice D rationale:

"I often have trouble controlling my blood sugar.”.

This statement is not typically associated with CF.

Blood sugar control issues are more commonly linked to conditions like diabetes, not CF, which primarily affects the respiratory and gastrointestinal systems.

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Correct Answer is A

Explanation

Choice B rationale:

Stating that hand hygiene is unnecessary in this case is incorrect.

Hand hygiene is crucial in infection control, especially for individuals with cystic fibrosis who may be more susceptible to infections due to compromised lung function.

Encouraging frequent handwashing is a key preventive measure.

Choice C rationale:

Having a child interact closely with friends and classmates to build immunity is not a recommended strategy for infection control in a child with cystic fibrosis.

Close contact with others can increase the risk of exposure to respiratory infections, which should be minimized.

Choice D rationale:

Avoiding vaccinations is not advisable, as vaccinations are an essential part of preventing various infectious diseases.

While certain vaccinations may need to be discussed with the healthcare provider to account for the child's individual health status, it is generally not recommended to avoid vaccinations as they can help prevent illness.

A. "CF leads to excessive production of digestive enzymes in the pancreas.” B. "CF has no impact on the function of the pancreas.” C. "CF impairs the pancreas's ability to produce digestive enzymes.” D. "CF causes the pancreas to produce excessive insulin.”

Correct Answer is C

Explanation

Choice A rationale:

"CF leads to excessive production of digestive enzymes in the pancreas.”.

This statement is not accurate.

In fact, CF impairs the production of digestive enzymes in the pancreas.

The thick mucus produced in CF can block the pancreatic ducts, preventing the release of enzymes needed for proper digestion.

Choice B rationale:

"CF has no impact on the function of the pancreas.”.

This statement is incorrect.

CF significantly affects the function of the pancreas by obstructing the pancreatic ducts and impairing the production of digestive enzymes.

Choice C rationale:

"CF impairs the pancreas's ability to produce digestive enzymes.”.

This statement is accurate.

CF causes the thick and sticky mucus to accumulate in the pancreas, obstructing the release of digestive enzymes, which are essential for the digestion of fats and proteins.

Choice D rationale:

"CF causes the pancreas to produce excessive insulin.”.

This statement is not correct.

CF does not lead to excessive insulin production.

Instead, it primarily affects the production of digestive enzymes and can lead to issues related to fat malabsorption.

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A nurse is assessing a child with cystic fibrosis.The child presents with chronic cough, wheezing, and recurrent respiratory infections.What should the nurse expect to find during this assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating the family of a child with cystic fibrosis about infection prevention strategies.What should the nurse recommend for effective infection control?

Correct Answer is A

Explanation

A parent of a child with cystic fibrosis (CF) is concerned about the child's digestive health.The parent asks, "How does CF affect the pancreas?" Which of the following statements by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is providing psychosocial support to a child with cystic fibrosis.What is an essential aspect of this support?

A nurse is providing education to a parent of a child newly diagnosed with cystic fibrosis (CF).The parent asks, "How is CF inherited?" Which of the following statements by the nurse is correct?

A nurse is assessing a child with cystic fibrosis.The child presents with chronic cough, wheezing, and recurrent respiratory infections.What should the nurse expect to find during this assessment?

Select all the nursing interventions appropriate for managing cystic fibrosis in children:.

A nurse is discussing treatment options with a child who has cystic fibrosis.What pharmacological interventions might be part of the treatment plan for this child?

A client with cystic fibrosis (CF) is concerned about how this condition affects their body.The client asks, "Why does CF lead to the production of thick mucus in the lungs and other organs?" Which of the following responses by the nurse is accurate?

A nurse is teaching a group of parents about managing cystic fibrosis (CF) in children.Which of the following interventions should the nurse include in the teaching? (Select all that apply).

A nurse is caring for a child with cystic fibrosis (CF) and is assessing the child's respiratory status.Which of the following findings should the nurse consider as a common respiratory complication of CF?

A nurse is assessing a child with cystic fibrosis.
The child presents with chronic cough, wheezing, and recurrent respiratory infections.
What should the nurse expect to find during this assessment?