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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) Incorrect. While inflammation can be a consequence of CF, it is not the primary cause of airway constriction.

B) Correct. In CF, thickened mucus accumulates in the airways, leading to chronic inflammation, recurrent infections, and progressive lung damage.

C) Incorrect. CF does not result in the overproduction of surfactant, which is a substance that helps reduce surface tension in the lungs.

D) Incorrect. The CFTR protein does not produce oxygen but rather regulates chloride ion and water transport in the lungs

A. "CF is caused by a single gene mutation, which can be inherited from one parent." B. "CF results from a combination of genetic and environmental factors." C. "CF occurs due to an X-linked genetic mutation passed from mother to daughter." D. "CF is primarily caused by exposure to respiratory pathogens during infancy."

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

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