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?

Increased lung compliance.

Decreased breath sounds.

Normal oxygen saturation.

Clear and thin sputum production.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Increased lung compliance is not a common respiratory complication of cystic fibrosis (CF).

CF is characterized by the production of thick and sticky mucus in the airways, which leads to decreased lung compliance.

This thick mucus obstructs the airways, making it difficult for the child to breathe.

Choice B rationale:

Decreased breath sounds are a common respiratory complication of CF.

The thick and sticky mucus produced in CF can block the airways, leading to decreased breath sounds upon auscultation.

This can result in impaired air movement and reduced ventilation in affected areas of the lungs.

Choice C rationale:

Normal oxygen saturation is not typically a common respiratory complication of CF.

CF often leads to decreased oxygen saturation due to the impaired lung function caused by mucus buildup and recurrent infections.

Choice D rationale:

Clear and thin sputum production is not a common finding in CF.

CF is associated with the production of thick and sticky mucus, leading to productive cough with thick, tenacious sputum.

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Correct Answer is C

Explanation

"The CFTR gene mutation impairs chloride and water transport in cells.”.

Choice A rationale:

The CFTR gene mutation does not cause excessive water transport in the body.

In fact, CF leads to a defect in chloride and water transport in cells, which results in the production of thick mucus.

Choice B rationale:

CF does not result in an overproduction of a specific enzyme that thickens mucus.

Instead, it affects the functioning of the CFTR protein, which is responsible for maintaining the balance of chloride and water in cells.

Choice D rationale:

CF does not primarily affect the production of surfactant in the lungs.

Surfactant is a substance that helps prevent the collapse of alveoli in the lungs, and CF primarily affects the mucus and airway clearance, not surfactant production.

A. "Encourage frequent handwashing to reduce the risk of infections.” B. "It's unnecessary to worry about hand hygiene in this case.” C. "Have your child interact closely with friends and classmates to build immunity.” D. "Avoid vaccinations, as they can exacerbate cystic fibrosis symptoms.”

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

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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?