A young adult is admitted with manifestations associated with cystic fibrosis. What should the nurse expect to find when collecting data from this patient? (Select 4 options that apply.)
Complaints of frequent foul-smelling stool
Finger clubbing
"Salty" skin surfaces
Extreme thirst
Thick sputum production
Correct Answer : A,B,C,E
A. Complaints of frequent foul-smelling stool: Clients with cystic fibrosis often have pancreatic enzyme deficiencies, leading to malabsorption and steatorrhea frequent, bulky, and foul-smelling stools that contain undigested fat.
B. Finger clubbing: Clubbing is a result of chronic hypoxia and is a common finding in patients with long-standing pulmonary disease such as cystic fibrosis. It reflects poor oxygenation over time.
C. "Salty" skin surfaces: One of the hallmark signs of cystic fibrosis is salty-tasting skin due to excessive chloride in sweat. It is often noted by parents and used in the diagnosis through sweat chloride testing.
D. Extreme thirst: While dehydration can occur in CF, especially in hot weather, extreme thirst is not a common or defining symptom. It is more typically associated with conditions like diabetes mellitus or insipidus.
E. Thick sputum production: CF leads to thick, sticky mucus production in the lungs and airways. This results in chronic cough, recurrent infections, and difficulty clearing secretions, all of which are prominent clinical features.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
Calculation:
Desired dose = 600 mg..
Available strength = 150 mg/capsule.
- Calculate the number of capsules to administer.
Number of capsules = Desired dose (mg) / Available strength (mg/capsule)
= 600 mg / 150 mg/capsule
= 4 capsules.
Correct Answer is ["3"]
Explanation
Children with the common cold are generally most contagious during the early stages of the illness typically within the first 2 to 3 daysafter symptoms appear. This is when viral shedding is at its peak, even if the child’s symptoms are mild. Hand hygiene, covering coughs, and limiting contact with others during the early days are essential to prevent spread.
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