Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?
Pulmonary secretions are abnormally thick.
Obstruction of the endocrine glands occurs.
Elevated levels of potassium are found in the sweat.
CF is an autosomal dominant hereditary disorder.
The Correct Answer is A
Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. By 6 months, most infants have doubled their birth weight, and some may have tripled it.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: This choice is incorrect. Doubling the birth weight is expected by 6 months, but tripling may also be normal.
Correct Answer is D
Explanation
Choice A reason: Increased deep tendon reflexes are not typically associated with hyponatremia.
Choice B reason: Bradycardia is a concern but is not the most immediate complication of hyponatremia.
Choice C reason: Respiratory distress may occur, but it is not the primary concern with hyponatremia.
Choice D reason: This is the correct choice. Seizures can occur with severe hyponatremia and require immediate intervention. The nurse should monitor the child closely for any signs of neurological changes.
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