A nurse is assessing a child with cystic fibrosis.
The child presents with chronic cough, wheezing, and recurrent respiratory infections.
What should the nurse expect to find during this assessment?

"I have difficulty breathing when I'm playing outside.”

"My fingers and toes look round and wide.”

"My stools are greasy and float in the toilet.”

"I often have trouble controlling my blood sugar.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"I have difficulty breathing when I'm playing outside.”.

This statement may be relevant to a respiratory assessment in a child with CF but does not address the typical gastrointestinal symptoms associated with the condition, such as greasy stools.

Choice B rationale:

"My fingers and toes look round and wide.”.

This statement is not related to the typical symptoms of CF.

The characteristic physical findings in CF are often related to respiratory and gastrointestinal issues rather than finger and toe appearance.

Choice C rationale:

"My stools are greasy and float in the toilet.”.

This statement is an accurate description of one of the common gastrointestinal symptoms of CF.

CF can lead to malabsorption of fats, resulting in greasy, foul-smelling stools that float in the toilet due to their high fat content.

Choice D rationale:

"I often have trouble controlling my blood sugar.”.

This statement is not typically associated with CF.

Blood sugar control issues are more commonly linked to conditions like diabetes, not CF, which primarily affects the respiratory and gastrointestinal systems.

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Correct Answer is B

Explanation

Choice A rationale:

Avoiding high-calorie foods to prevent weight gain is not an appropriate nursing intervention for a child with cystic fibrosis.

These children often have difficulty maintaining their weight due to malabsorption, and they may need a high-calorie diet to ensure proper growth and development.

Choice C rationale:

Disregarding the diet's impact on cystic fibrosis is not a valid approach.

Nutrition plays a crucial role in managing the condition, and dietary choices can significantly impact a child's health and well-being.

The statement is inaccurate and should not be followed.

Choice D rationale:

Limiting food intake to avoid digestive issues is not a suitable approach for a child with cystic fibrosis.

While digestive issues can be a concern, it is essential to provide adequate nutrition to support growth and development.

Restricting food intake can lead to malnutrition in these patients.

A. "The CFTR gene mutation causes excessive water transport in the body.” B. "CF results in an overproduction of a specific enzyme that thickens mucus.” C. "The CFTR gene mutation impairs chloride and water transport in cells.” D. "CF primarily affects the production of surfactant in the lungs.”

Correct Answer is C

Explanation

"The CFTR gene mutation impairs chloride and water transport in cells.”.

Choice A rationale:

The CFTR gene mutation does not cause excessive water transport in the body.

In fact, CF leads to a defect in chloride and water transport in cells, which results in the production of thick mucus.

Choice B rationale:

CF does not result in an overproduction of a specific enzyme that thickens mucus.

Instead, it affects the functioning of the CFTR protein, which is responsible for maintaining the balance of chloride and water in cells.

Choice D rationale:

CF does not primarily affect the production of surfactant in the lungs.

Surfactant is a substance that helps prevent the collapse of alveoli in the lungs, and CF primarily affects the mucus and airway clearance, not surfactant production.

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A nurse is assessing a child with cystic fibrosis.The child presents with chronic cough, wheezing, and recurrent respiratory infections.What should the nurse expect to find during this assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with cystic fibrosis.The nurse is responsible for providing nutritional support as part of the treatment plan.What is an appropriate nursing intervention in this context?

Correct Answer is B

Explanation

A client with cystic fibrosis (CF) is concerned about how this condition affects their body.The client asks, "Why does CF lead to the production of thick mucus in the lungs and other organs?" Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is discussing treatment options with a child who has cystic fibrosis.What pharmacological interventions might be part of the treatment plan for this child?

A nurse is assessing a child with cystic fibrosis.The child presents with chronic cough, wheezing, and recurrent respiratory infections.What should the nurse expect to find during this assessment?

A parent of a child with cystic fibrosis (CF) is concerned about the child's digestive health.The parent asks, "How does CF affect the pancreas?" Which of the following statements by the nurse is accurate?

A nurse is teaching a group of parents about managing cystic fibrosis (CF) in children.Which of the following interventions should the nurse include in the teaching? (Select all that apply).

A nurse is educating the family of a child with cystic fibrosis about infection prevention strategies.What should the nurse recommend for effective infection control?

A nurse is providing psychosocial support to a child with cystic fibrosis.What is an essential aspect of this support?

A nurse is providing education to a parent of a child newly diagnosed with cystic fibrosis (CF).The parent asks, "How is CF inherited?" Which of the following statements by the nurse is correct?

Select all the nursing interventions appropriate for managing cystic fibrosis in children:.

A nurse is assessing a child with cystic fibrosis.
The child presents with chronic cough, wheezing, and recurrent respiratory infections.
What should the nurse expect to find during this assessment?