Cystic Fibrosis Case Study
Which statement by the mother supports the diagnosis of CF
When i kiss my daughter, her skin tastes like salt
which documentation further supports the diagnosis of CF
-a hx of frequent respiratory infection
-parents report foul-smelling stools that have white streaks and are sticky
what information will the nurse include when teaching about the sweat test
it is a simple, painless, reliable test that measures chloride in sweat
what action should the nurse take first
make arrangements to meet with Paula privately at the first opportunity
What response reflects that the nurse values the principle of beneficence
paula, i know this has to be a very scary and difficult time for you. what can i do to help?
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what is the best response by the nurse?
I will sit with Debbie so you and your wife can talk. We have a quiet room you can use that is private and close by
which nursing diagnosis has the highest priority
altered nutrition less than body requirements related to poor intestinal absorption
which statement should the nurse record as the expected outcome for the nursing diagnosis?
the child will be able to remove mucus from the airway by coughing
The nurse provides which explanation for what standards of care are?
standards of care are published statements that describe the level of care that the client with CF can expect from nurses
which statement by the nurse is correct in describing secondary care
it is care like vision, hearing, and scoliosis screening that Debbie will get when she starts school
which statement indicates a correct understanding of the etiology of CF
both of Debbie’s biological parents must have the CF gene (autosomal recessive)
which instruction should the nurse educator include when discussing respiratory complications?
perform chest percussion and postural drainage two times a day
which intervention should the nurse educator discuss with Debbie’s parents
discussing the importance of playing games that require Debbie to do physical activity, such as running, jumping, or skipping
what actions should the nurse educator take to address chronic respiratory infections
-teach Debbie to take a deep breath and then exhale whispering the word “huff”
-instruct the parents to perform chest physiotherapy either 1 hour before meals or two hours after
-explain the importance of increasing fluid during acute exacerbations
which instruction should the nurse educator give debbie parents concerning the use of pancreatic enzymes?
open the capsules and mix beads in a food like applesauce (non protein foods)… should be taken 30 mins before eating meal!!
which adjustment will be required if debbie has loose, fatty stool
increase the pancreatic enzymes with each meal and snack
which rational best supports the referral to the cystic fibrosis foundation?
community resources often provide support groups for parents of children with CF
what action by the nurse is warranted when debbie knows her full name and age?
document the observations, but take no action at this time
what is the best response by the nurse to Paula asking what play therapy is?
play therapy uses toys and games to help with debbie’s physical and emotional needs
what is the nurse educators responsibility when discussing immunizations?
explain that debbie receive all routine childhood immunizations
What response is most appropriate by the primary nurse regarding MMR
the second MMR is given between 4-6 years of age
what laboratory result warrants immediate intervention?
white blood cell count of 20,000
which intervention should the nurse implement first?
administer oxygen 6 L/min via simple face mask
at what rate should the nurse set the infusion pump?
12.5 mg IVPB of Rocephin
the medication comes in 12.5/25 ml and is to be infused over 1 hour
which action should the primary nurse implement first regarding a mix up in antibiotic use?
assess debbie and the child that received the wrong medication
what nursing task can be safely delegated to the UAP?
empty the foley bag
what action should the charge nurse take regarding in interrupting play for vital signs
explain that play therapy is an intervention and should not be interrupted for vital signs
how should the nurse educator respond about a vacation to the beach?
suggest that they add extra salt to debbie’s diet and watch her for dehydation