Respiratory Disorders - Cystic Fibrosis

Question 0

Respiratory Disorders - Cystic Fibrosis (Maternal-Child Workbook (Towle) Ch. 18)

A child is diagnosed at 6 years of age with cystic fibrosis. Which of the following might have been present earlier in teh child’s life to indicate the diagnosis?

A. Being born 6 weeks premature.
B. Having respiratory difficulty at birth.
C. Presence of meconium ileus at birth.
D. Presence of congenital hip dysplasia at birth.

Answer 0

C. Presence of meconium ileus at birth.

Question 1

Respiratory Disorders - Cystic Fibrosis (Maternal-Child Book (Towle) Ch. 18)

A 7-year-old with cystic fibrosis is admitted with bronchial pneumonia. The physician orders postural drainage primarily to

A. clear the lungs of mucus.
B. dilate the bronchi.
C. provide more room for lung expansion.
D. remove bacteria from the lungs.

Answer 1

A. clear the lungs of mucus.

Question 2

Respiratory Disorders - Cystic Fibrosis (Maternal-Child Workbook (Towle) Ch. 18)

The child with cystic fibrosis has many health problems that need to be addressed. Related to nutrition, which of the following would be recommended in this child’s diet? Select all that apply.

A. Low carbohydrate diet.
B. Addition of pancreatic enzymes.
C. High protein diet.
D. Addition of vitamins.

Answer 2

B. Addition of pancreatic enzymes.
C. High protein diet.
D. Addition of vitamins.

Question 3

Respiratory Disorders - Cystic Fibrosis (ATI - Nursing Care of Children Ch. 18)

Which of the following tests is used to confirm a diagnosis of cystic fibrosis?

A. Sweat chloride
B. Blood glucose
C. Arterial blood gases
D. DNA mutant gene identification

Answer 3

D. DNA mutant gene identification

Question 4

Respiratory Disorders - Cystic Fibrosis (ATI - Nursing Care of Children Ch. 18)

A nurse is caring for a NEWBORN in the nursery and suspects that she has cystic fibrosis. Which of the following physical findings supports the nurse’s conclusion? (Select all that apply.)

A. Barrel-shaped chest
B. Failure to pass meconium stool
C. Bile present in regurgitated breast milk
D. Cyanosis
E. Large, round distended abdomen.

Answer 4

B. Failure to pass meconium stool
C. Bile present in regurgitated breast milk
E. Large, round distended abdomen.

Rationale:
Barrel shaped chest and cyanosis are seen in children, not a newborn.

Question 5

Respiratory Disorders - Cystic Fibrosis (ATI - Nursing Care of Children Ch. 18)

A nurse is reviewing dietary concerns at the home of a child with cystic fibrosis. Which of the following should be included in teh diet plan? (Select all that apply.)

A. Take water-soluble and multiple vitamins.
B. Limit oral fluids.
C. Increase calorie and protein intake.
D. Decrease sal intake.
E. Add between meal snacks.

Answer 5

A. Take water-soluble and multiple vitamins.
C. Increase calorie and protein intake.
E. Add between meal snacks.

Question 6

Respiratory Disorders - Cystic Fibrosis (NCLEX Review Book - Ch 31)

338. A nurse is instructing the mother of a child with CF about the appropriate dietary measures. Which type of diet will be included in the instructions?

A. A low-calorie, low-fat diet
B. A high-calorie, low-protein diet
C. A low-calorie, restricted-fat diet
D. A high-calorie, high-protein diet

Answer 6

D. A high-calorie, high-protein diet