A nurse is caring for a pediatric client with cystic fibrosis. Which respiratory therapy technique should the nurse prioritize to help manage the client's condition?
Postural drainage and chest percussion
Administering bronchodilators as needed
Providing oxygen therapy around the clock
Encouraging deep breathing exercises only during illness
The Correct Answer is A
A) Correct. Postural drainage and chest percussion help mobilize and remove thick, sticky mucus from the airways, which is crucial in managing CF.
B) Incorrect. While bronchodilators may be used, they are not the primary therapy for managing CF. Airway clearance techniques like postural drainage are more important.
C) Incorrect. Oxygen therapy should be administered as needed, but it is not required around the clock for all CF patients.
D) Incorrect. Deep breathing exercises should be encouraged regularly, not just during illness, to maintain airway clearance and lung function.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. Wheezing and chest pain can occur in CF, but a chronic cough with thick mucus production is often one of the earliest respiratory symptoms.
B) Correct. A chronic cough with thick, sticky mucus is a hallmark symptom of CF due to the accumulation of mucus in the respiratory tract.
C) Incorrect. Blood in the urine is not a common early sign of CF; it may indicate other issues.
D) Incorrect. Digestive discomfort and diarrhea are more related to CF's impact on the gastrointestinal system, rather than being early respiratory symptoms.
Correct Answer is C
Explanation
A) Incorrect. CF is not caused by an extra chromosome; it is a genetic disorder resulting from mutations in specific genes.
B) Incorrect. CF is not characterized by a duplication of the CFTR gene but rather by various mutations in this gene.
C) Correct. CF is primarily caused by mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene, leading to the production of dysfunctional chloride channels.
D) Incorrect. CF is not characterized by the absence of the CFTR gene; instead, it involves various mutations in this gene.
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