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?

Dry, nonproductive cough

Decreased breath sounds

Hematuria

Rapid weight gain

Answer and Explanation

The Correct Answer is B

A) Incorrect. In advanced CF-related lung disease, a chronic, productive cough with thick mucus production is more common than a dry, nonproductive cough.

B) Correct. Decreased breath sounds may occur in clients with advanced CF-related lung disease due to airway obstruction and lung damage.

C) Incorrect. Hematuria is not a typical respiratory symptom of CF.

D) Incorrect. Rapid weight gain is not associated with advanced CF-related lung disease; individuals with advanced CF often experience weight loss and malnutrition.

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Correct Answer is B

Explanation

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.

A. Frequent nosebleeds B. Chronic cough with thick mucus production C. Rapid weight gain D. High blood pressure

Correct Answer is B

Explanation

A) Incorrect. Frequent nosebleeds are not a hallmark symptom of CF.

B) Correct. A chronic cough with thick, sticky mucus production is a hallmark feature of CF due to the accumulation of mucus in the respiratory tract.

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

D) Incorrect. High blood pressure is not a characteristic symptom of CF.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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?

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