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