If the pancreatic enzymes are having the desired effect for a patient with cystic fibrosis, the nurse should expect to make which observation?

Choice A rationale:

If the pancreatic enzymes are effectively aiding in digestion for a patient with cystic fibrosis, the expected outcome would be improved absorption of nutrients and fats. This would result in normal stool consistency and color. Cystic fibrosis often impairs the pancreas' ability to produce sufficient digestive enzymes, leading to malabsorption and fatty stools. Therefore, observing normal stool consistency indicates that the enzymes are working adequately.

Choice B rationale:

The color of the patient's sclerae (the white part of the eyes) is not directly related to the effectiveness of pancreatic enzymes in cystic fibrosis. Scleral color can be affected by various factors such as jaundice, liver function, and blood disorders.

Choice C rationale:

Moist buccal mucosa (inner lining of the mouth) is not a specific indicator of the effectiveness of pancreatic enzymes. This observation could be influenced by hydration status and overall oral care.

Choice D rationale:

Glucose presence in urine is more related to diabetes management rather than the effects of pancreatic enzymes in cystic fibrosis. The absence of glucose in urine does not provide information about the efficacy of these enzymes.

Choice A rationale:

An increasing pulse rate suggests that the patient's condition is worsening. Tachycardia can indicate increased work of breathing and decreased oxygenation, which are concerning signs in laryngotracheobronchitis.

Choice B rationale:

Mouth breathing is a common response to airway obstruction, such as in laryngotracheobronchitis. While it indicates respiratory distress, it doesn't specifically suggest a worsening of the condition.

Choice C rationale:

An increase in nasal discharge might be seen with the common cold or other upper respiratory infections but is not a specific indicator of worsening laryngotracheobronchitis.

Choice D rationale:

A hoarse cry is a characteristic symptom of laryngotracheobronchitis due to inflammation of the airway. However, it is a common initial symptom and may not directly correlate with worsening of the condition.