A nurse is reinforcing teaching to a newly hired nurse about cystic fibrosis. Which of the following statements should the nurse make?

"The life expectancy for an individual who has this disorder is 25 years of age.”

"This disorder is most common in individuals of Northern European descent.”

"Heart failure will occur at some point during the progression of CF.”

“This disorder occurs when the mother has a mutation of the 7th chromosome.”

Answer and Explanation

The Correct Answer is B

A. "The life expectancy for an individual who has this disorder is 25 years of age." Advances in treatment, including improved respiratory therapies and medications like CFTR modulators, have significantly increased life expectancy. Many individuals with cystic fibrosis (CF) now live into their 40s or beyond, depending on disease severity and access to medical care.

B. "This disorder is most common in individuals of Northern European descent." CF is most prevalent in individuals of Northern European ancestry, affecting about 1 in 2,500 to 3,500 newborns in this population. It is much less common in individuals of African, Asian, or Hispanic descent.

C. "Heart failure will occur at some point during the progression of CF." CF primarily affects the lungs and digestive system due to thick mucus production, but heart failure is not a direct consequence of the disease. However, cor pulmonale (right-sided heart failure) can develop secondary to chronic lung disease and pulmonary hypertension in severe cases.

D. "This disorder occurs when the mother has a mutation of the 7th chromosome." CF is an autosomal recessive disorder, meaning a child must inherit mutated CFTR genes from both parents (not just the mother). The mutation affects the CFTR gene located on chromosome 7, leading to defective chloride transport and thick mucus production.

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Correct Answer is D

Explanation

A. "The Courageous Parent's Network is an international organization that promotes palliative care." While the Courageous Parents Network does provide education and support for families facing serious illness, it is not classified as an international organization. It primarily focuses on U.S.-based resources and advocacy.

B. "The Pediatric Palliative Care Group will help pay for burial expenses for those who lose a child." There is no widely recognized organization under this name that specifically funds burial expenses. While some charitable groups may assist with end-of-life costs, this is not a defining feature of pediatric palliative care organizations.

C. "The Compassionate Friends Group provides behavioral health counseling services." The Compassionate Friends is a well-known bereavement support organization that provides peer-led support groups rather than formal behavioral health counseling services.

D. "Grief counseling is a key component of bereavement care." Bereavement care includes emotional and psychological support, with grief counseling playing a vital role in helping families cope with loss. Many organizations emphasize grief support as a crucial part of palliative and end-of-life care.

A. "My family should use separate serving utensils for gluten-free foods." B. "I can still enjoy oatmeal for breakfast.” C. “I need to avoid foods like bread, pasta, and cereal." D. "I need to check food labels for hidden sources of gluten, like barley and rye."

Correct Answer is B

Explanation

A. "My family should use separate serving utensils for gluten-free foods." Cross-contamination is a serious concern for individuals with celiac disease. Using separate utensils and cookware helps prevent exposure to gluten and reduces the risk of intestinal damage.

B. "I can still enjoy oatmeal for breakfast." Regular oats are often contaminated with gluten due to cross-contact with wheat, barley, or rye during processing. Only certified gluten-free oats are considered safe for individuals with celiac disease, but even then, some people may still react due to the protein avenin found in oats.

C. "I need to avoid foods like bread, pasta, and cereal." Many traditional bread, pasta, and cereals contain wheat, barley, or rye, which must be strictly avoided in a gluten-free diet.

D. "I need to check food labels for hidden sources of gluten, like barley and rye." Gluten can be found in processed foods, sauces, seasonings, and even medications. Reading labels carefully is essential for managing celiac disease.

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A nurse is reinforcing teaching to a newly hired nurse about cystic fibrosis. Which of the following statements should the nurse make?

Nursing Test Bank

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