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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Lint-free pipe cleaner:A lint-free pipe cleaner is ideal for drying the inner cannula because it won’t introduce fibers or debris into the airway. It ensures that the cannula is thoroughly dried without increasing the risk of aspiration or airway irritation from lint.

B. The inner cannula does not need to be dried before reinserting it into the outer cannula:Moisture left inside the cannula can promote bacterial growth and lead to infection. Drying the cannula is an essential step to prevent microbial contamination and to maintain patency and safety.

C. Q-tip:Q-tips can shed fibers and are not suitable for internal tracheostomy components. Using them may lead to lint being introduced into the airway, increasing the risk of irritation or infection.

D. Medical air:Medical air is not used to dry tracheostomy components. It is not practical, and it may not fully dry narrow internal surfaces. Manual drying with a lint-free material is safer and more effective.

A. Place a mask over the patient's nose and mouth. B. Notify the x-ray department that the test must be cancelled. C. Place a gown and gloves on the patient. D. Call the x-ray department to make sure the waiting room is empty.

Correct Answer is A

Explanation

A. Place a mask over the patient's nose and mouth:When a patient with active TB leaves the isolation room, they must wear a surgical mask to prevent airborne transmission. This protects others from inhaling Mycobacterium tuberculosisin shared spaces.

B. Notify the x-ray department that the test must be cancelled:There is no need to cancel the diagnostic test. Proper precautions like masking the patient enable safe transport and continuation of necessary medical care.

C. Place a gown and gloves on the patient:Gowns and gloves are used for contact precautions, not airborne. TB transmission is airborne, and a surgical mask is the appropriate protective measure for the patient not gowning or gloving.

D. Call the x-ray department to make sure the waiting room is empty:While minimizing exposure is ideal, it is not sufficient or necessary if the patient wears a mask. Standard protocol centers on masking the patient and notifying departments of isolation status, not on room occupancy control.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly hired LPN about trach care. The nurse should include that the inner cannula should be cleaned with a brush and then dried with a

Correct Answer is A

Explanation

A patient with TB who is in respiratory isolation must go to the x-ray department. Which action should the nurse take?

Correct Answer is A

Explanation

A mother arrives at the hospital emergency department with her child, in whom a diagnosis of epiglottitis is documented. Which prescription, if written by the health care provider, should the nurse question?

Case Study Pneumonia (Adult) Exhibits Which findings support the diagnosis of pneumonia?

A nurse assesses a client who is prescribed fluticasone (Flovent) and notes oral lesions. Which action should the nurse take?

Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching her breath?

The nurse has assisted a health care provider (HCP) with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level (tidaling) in the water seal chamber after the tube is inserted. Based on this assessment finding, which action is most appropriate?

A client diagnosed with a PE is placed on a heparin drip. The nurse knows that she must monitor which of the following?

A patient has a temperature of 102.2°F. The nurse needs to document the temperature in Celsius for the electronic medical record. (LABEL CORRECTLY. ROUND TO TENTH)

A patient presents with a diagnosis of chronic obstructive pulmonary disease (COPD). The ABG results are as follows: pH 7.32. pCO2 68, p02 78, HCO3 23. What action should the nurse take first?