A nurse is discussing the clinical manifestations of cystic fibrosis (CF) with a newly diagnosed adolescent client. What common respiratory symptom should the nurse emphasize as an early sign of CF?
Wheezing and chest pain
Chronic cough with thick mucus production
Blood in the urine
Digestive discomfort and diarrhea
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Protein intake is important for growth and repair but should not be limited in CF. High-calorie intake is more critical.
B) Correct. CF can lead to malabsorption of fat-soluble vitamins and calories, so a high-fat diet is recommended to support weight gain and nutrient absorption.
C) Incorrect. Dairy products are a good source of calcium and calories, and they are generally well-tolerated by CF patients. Avoiding them is not necessary.
D) Incorrect. Increasing sugary snacks is not advisable for CF patients. They need a balanced diet to meet their nutritional needs.
Correct Answer is C
Explanation
A) Incorrect. PERT is not primarily used to control blood sugar levels; it is used to improve nutrient absorption.
B) Incorrect. While CF management aims to improve lung function, PERT is specifically used to address pancreatic insufficiency and digestive issues.
C) Correct. The primary purpose of PERT in CF management is to replace the missing digestive enzymes and aid in the digestion of fats and nutrients.
D) Incorrect. PERT does not increase mucus production in the airways; it is focused on the digestive system.
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