A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.)
Rapid growth spurts
Thin, watery mucus
Wheezing
Barrel-shaped chest
Correct Answer : C,D
Choice A reason: Rapid growth spurts are not associated with cystic fibrosis. Instead, patients often experience poor growth due to malabsorption.
Choice B reason: Thin, watery mucus is not typical in cystic fibrosis. The mucus is usually thick and sticky, leading to blockages in the lungs and pancreas.
Choice C reason: Wheezing is a common symptom in cystic fibrosis due to the obstruction of the airways by thick mucus.
Choice D reason: A barrel-shaped chest can develop in cystic fibrosis due to chronic lung infections and air trapping.
Choice E reason: Clubbing of fingers and toes is a sign of chronic hypoxia, which can occur in cystic fibrosis due to long-standing lung disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While administering vitamins and minerals is important, it does not provide complete nutrition, especially for a client with such extensive burns and absent bowel sounds.
Choice B reason: This is the correct choice because total parenteral nutrition (TPN) provides complete nutrition intravenously, bypassing the gastrointestinal tract, which is necessary when bowel sounds are absent, indicating a non-functioning GI system.
Choice C reason: Enteral feedings require a functioning GI tract. With absent bowel sounds, this indicates a high risk for complications like aspiration or feeding intolerance.
Choice D reason: Encouraging oral intake is not feasible for a client with extensive burns and absent bowel sounds due to the high risk of inadequate intake and aspiration.
Correct Answer is ["C","D"]
Explanation
Choice A reason: Rapid growth spurts are not associated with cystic fibrosis. Instead, patients often experience poor growth due to malabsorption.
Choice B reason: Thin, watery mucus is not typical in cystic fibrosis. The mucus is usually thick and sticky, leading to blockages in the lungs and pancreas.
Choice C reason: Wheezing is a common symptom in cystic fibrosis due to the obstruction of the airways by thick mucus.
Choice D reason: A barrel-shaped chest can develop in cystic fibrosis due to chronic lung infections and air trapping.
Choice E reason: Clubbing of fingers and toes is a sign of chronic hypoxia, which can occur in cystic fibrosis due to long-standing lung disease.
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