Nursing Care
What diagnostic test can be used to determine if a child has CF?
a. Chest CT
b. Sweat chloride test
c. MRI
d. X-ray
sweat chloride test
A parent asks you how did my child contract CF. How do you answer their question?
a. "CF is a contagious disease that is passed through airborne particles and can only be found in children."
b. "I do not know what to say the cause is unknown"
c. "CF is passed down through the parent's genes."
d. "The topic of how the child got CF is not important and should only be discussed with your doctor"
c
You review the drugs that have been ordered to treat JR suspected infection. You are orientating a new nurse. Which of the following statements would you question as you review the medication order?
a. "I will verify dosage and medications compatibility with the pharmacy."
b. "I have assessed for possible allergies or hypersensitivities."
c. "I will obtain blood glucose before administering medications."
d. "I will need to monitor serum levels for some of these medications."
A
The nurse would assess for what color of skin?
a. cyanosis
b. jaundice
c. bluish
d. pallor
Jaundice
A respiratory test that tracks the progression of CF?
a. Pulmonary function test
b. Incentive spirometer
c. Mantoux test
d. Chest x-ray
a. PFT
The nurse is teaching the parent about the pancreatic enzymes. They ask you when to give the enzymes?
a. Every morning
b. Once a week
c. before meals
d. at bedtime
suppose to help with digestion so take before meals c. before meals
About one hour after eating a meal, your patient, who has cystic fibrosis, starts to experience abdominal pain and bloating. Then two hours later the patient has a bowel movement. The patient's stool appears to be greasy and have a foul odor. Which medication below that is being taken by the patient is not providing a desirable outcome for this patient and needs to be re-addressed by the physician?
a. Guaifenesin
b. Triamcinolone
c. Pancrelipase
d. Polyethylene Glycol
C
If a patient does not have enough present in the body to aid in digestion, they will start to have abdominal bloating/pain, greasy/foul smelling stools along with weight loss, and vitamin deficiency.
The most prominent and consistent manifestation of pulmonary involvement in CF?
a. hypoactive bowels
b. chronic cough
c. sweating salt
d. hemorrhage
b
The doctor orders for enzymes to given to the patient with CF. What enzymes do you expect to give?
a. Nucleases
b. proteases
c. amylase
d. lipase
d. pancreatic lipase
The child is recently diagnosed with CF and the mother is worried about how this will affect their lives. She asks you will her child have to change her diet. Your answer...
a. "There is no change in diet"
b. "She will be put on a simple low-fat diet"
c. "The child be put on a high calorie/protein and high Na diet"
d. "Let's see how she deals with the treatments for CF before we talk about a diet"
c The patient will be high calorie with smaller meals and snacks in between
The child with CF is not doing well with the nursing interventions. What can be done as a last resort for the patient?
a. Nothing no cure
b. lung transplant
c. suctioning
d. postural drainage
b
which of following actions can be delegated to the AP?
a. charting daily weights and intake and output
b. instructing the parents on correct administration of NS nebulizers
c. administering pancreatic enzymes
d. increasing O2 during an episode of desaturation
a
What are the nonpharmacological interventions the nurse can do to loosen secretions?
a. suctioning
b. postural drainage
c. chest physiotherapy-cup therapy
d. elevate HOB
b, c
The patient asks "Will I be able to have children when I grow up?" Your response is:
a. "You should discuss this with your parents. I will let them know you asked."
b. Most males have a significant chance of being sterile and won't need to consider the use of contraception."
c. "Although nearly 95% of males are sterile, you should discuss this with your physician and family."
d. "CF does not affect the male reproductive system however it does affect the female population."
c
Which of the following GI comorbidities might you see in a patient with CF? SATA
a. Celiac disease
b. Meconium ileus
c. Rectal prolapse
d. Chronic vomiting
e. Constipation
a, b, c, e
When JR comes in saying he has CF what systems should the nurse assess first? SATA
a. urinary system
b. GI system
c. respiratory system
d. neuro system
b, c those are the ones affected
What can the nursing do to promote rest in a patient with CF? SATA
a. avoid the patient
b. pain medication as needed
c. limit noises in the hospitals
d. nothing
b, c
What medications may be given to the patient with CF? SATA
a. insulin
b. Lactulose
c. Guaifenesin
d. Cipro
a. because the pancreas is not working properly
b. liver problems due to ammonia levels
c. decrease thickened mucus
According to her assessment and chart, what are abnormal signs and symptoms? List at least 4.
101.8 infection
28 respiratory
blue nail beds
O2 a little low
labored coarse cough
rhonchi
barrel-chested
When listening to the patient's lungs what would the nurse hear? SATA
a. diminished lung sounds
b. crackles
c. wheezes
d. rales
Diminished crackles wheezes