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 C
Explanation
Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.
Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.
Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.
Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: A universal dropper ensures accurate dosing, which is crucial for infants due to their small size and the precise dosing required for their medications.
Choice B reason: Adding medication to a formula bottle is not recommended because if the infant does not finish the bottle, they will not receive the full medication dose.
Choice C reason: Flavoring can help mask the taste of medications, making it easier for infants to take them, which is especially useful if the medication has an unpleasant taste.
Choice D reason: Using the nipple of a bottle can be an effective way to administer medication to an infant who is used to bottle-feeding, as it can make the process more familiar and comfortable.
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