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A nurse is caring for a client who is at 20 weeks of gestation and asks what could cause the infant to have a cleft lip. Which of the following responses should the nurse give?

A cleft lip is caused by the Epstein-Barr virus (EBV)."

"A cleft lip is due to an abnormal autoimmune response."

"A cleft lip is due to advanced maternal age.”

"A cleft lip has a genetic component."

Answer and Explanation

The Correct Answer is D

A. Epstein-Barr virus (EBV) is not associated with cleft lip formation.

B. Cleft lip is not caused by an autoimmune response.

C. Advanced maternal age is associated with other congenital anomalies but not specifically with cleft lip.

D. Cleft lip and palate often have a genetic component and can be influenced by environmental factors during early pregnancy.

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Correct Answer is A

Explanation

A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.

B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.

C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.

D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.

A. A sputum culture B. A stool fat content analysis C. Sweat chloride test D. Pulmonary function tests

Correct Answer is C

Explanation

A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.

B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.

C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.

D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.

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A nurse is caring for a client who is at 20 weeks of gestation and asks what could cause the infant to have a cleft lip. Which of the following responses should the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

Correct Answer is C

Explanation

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