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

"You'll need to take bronchodilators as prescribed.”.

Choice A rationale:

Bronchodilators are commonly prescribed to children with cystic fibrosis to help open airways, making it easier for them to breathe.

These medications assist in relieving airway constriction and improving respiratory function.

Choice B rationale:

Stating that "antibiotics are unnecessary for cystic fibrosis" is incorrect.

Antibiotics are often required for cystic fibrosis patients to treat and prevent respiratory infections, which are common due to the thick mucus buildup in the airways.

Choice C rationale:

Mucolytics are medications that help thin and mobilize mucus in the airways.

Advising the child to "avoid mucolytics" is not appropriate, as these drugs can be beneficial in managing cystic fibrosis by facilitating mucus clearance and reducing the risk of lung infections.

Choice D rationale:

Telling the child to "skip the medications; they won't help" is incorrect and potentially dangerous advice.

Medications prescribed for cystic fibrosis are essential for managing the disease, and skipping them can lead to worsened symptoms and complications.

A. Encourage physical activity and exercise. B. Administer pancreatic enzyme replacement therapy. C. Restrict fluid intake to reduce mucus production. D. Teach airway clearance techniques. E. Promote a high-fat, high-calorie diet.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Encouraging physical activity and exercise is important in managing CF.

It helps improve lung function and overall health in individuals with CF.

Choice B rationale:

Administering pancreatic enzyme replacement therapy is a crucial part of CF management.

CF often affects the pancreas, leading to malabsorption, and these enzymes help digest and absorb nutrients properly.

Choice C rationale:

Restricting fluid intake to reduce mucus production is not a recommended intervention for CF.

Hydration is essential to keep mucus from becoming too thick and sticky.

Dehydration can worsen mucus obstruction.

Choice D rationale:

Teaching airway clearance techniques is essential in CF management.

It helps individuals clear the thick mucus from their airways, promoting better lung function.

Choice E rationale:

Promoting a high-fat, high-calorie diet is important for individuals with CF.

CF often leads to malnutrition, and a high-calorie diet helps maintain proper nutrition and growth.

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

Correct Answer is A

Explanation

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).

Correct Answer is ["A","B","D","E"]

Explanation

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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?