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.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Adolescents are capable of more complex thinking and are less likely to view illness as a punishment for misdeeds.
Choice B reason: Infants do not have the cognitive ability to associate illness with punishment.
Choice C reason: This is the correct choice. Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds.
Choice D reason: School-age children are beginning to understand the biological causes of illness and are less likely to view it as a punishment.
Correct Answer is C
Explanation
Choice A reason: Feeding the toddler is a basic need and should be ensured, but it does not specifically address developmental appropriateness or encourage independence.
Choice B reason: Dressing the toddler is also a basic need, but it does not actively involve the toddler in the process, which is important for development.
Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of autonomy and contributing to developmental milestones.
Choice D reason: Asking the toddler if he would like to take his medicine is important for involving the child in their care; however, it does not offer the same level of developmental engagement as making choices about personal preferences like clothing.
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