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 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.

A. Initiation of long-term oxygen therapy B. Administration of bronchodilators and corticosteroids C. Surgical lung transplantation D. Recommending bed rest and minimal physical activity

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.

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

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