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. While inflammation can be a consequence of CF, it is not the primary cause of airway constriction.

B) Correct. In CF, thickened mucus accumulates in the airways, leading to chronic inflammation, recurrent infections, and progressive lung damage.

C) Incorrect. CF does not result in the overproduction of surfactant, which is a substance that helps reduce surface tension in the lungs.

D) Incorrect. The CFTR protein does not produce oxygen but rather regulates chloride ion and water transport in the lungs

A. "Clubbed fingers are a common cosmetic concern but do not indicate any medical issues in CF." B. "Clubbing of the fingers can be a sign of advanced lung disease or decreased oxygen levels in CF." C. "Clubbing occurs as a result of excessive sodium intake, which is often seen in CF patients." D. "Clubbing is primarily associated with digestive problems in CF and does not affect the respiratory system."

Correct Answer is B

Explanation

A) Incorrect. Clubbed fingers in CF can be more than a cosmetic concern and may indicate underlying medical issues.

B) Correct. Clubbing of the fingers can be associated with advanced lung disease or reduced oxygen levels in CF.

C) Incorrect. Clubbing is not related to excessive sodium intake in CF patients.

D) Incorrect. While CF can affect the digestive system, clubbing of the fingers is primarily associated with respiratory issues.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client with cystic fibrosis (CF) presents with clubbed fingers during a routine examination. What should the nurse explain to the client regarding the significance of clubbing in CF?

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?

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