HESI: Cystic Fibrosis Questions and Rationale Graded A+
1. Which assessment supports the diag- Weight loss and delayed growth despite a hearty
nosis of CF? appetite.
A fever of 102 ºF (38.9 ºC), inflamed Pancreatic insuflciency and malabsorption are
larynx with exudate. characteristic of CF and result in weight loss and
Eyes with redness and yellow exu- delayed growth.
date.
Weight loss and delayed growth de-
spite a hearty appetite.
A brassy cough with inspiratory stri-
dor.
2. Which documentation further sup- A history of frequent respiratory infections.
ports the diagnosis of CF? Select all
that apply The respiratory system is attected by abnormally
thick, sticky secretions that cause airway obstruc-
A history of frequent respiratory infec- tion to the lungs. Other clinical manifestations of
tions. CF include poor growth and/or weight loss, a dry
An elevated white blood cell count and non-productive cough, and increased bleed-
(WBC). ing tendencies caused by a deficiency of the fat-sol-
Reports of episodic abdominal pain uble vitamin K.
and crying.
A sweat chloride level of 35 mEq/L (35 Bulky loose stools
mmol/L).
The term for undigested fat in the stools of clients
Bulky loose stools
with CF is steatorrhea. The foul smell is a result of
the presence of protein. Large, loose, and sticky are
also terms that characterize the stools of a client
with CF.
3. What information will the nurse in- It is a simple and reliable test that measures the
clude when teaching about the sweat chloride in sweat.
test?
, HESI: Cystic Fibrosis Questions and Rationale Graded A+
The sweat test is a simple, painless, and reliable
Informed consent will be needed for diagnostic test that is performed to determine the
this invasive, diagnostic test. amount of chloride in the client's sweat. The sweat
It will take 2 hours to obtain the chloride test involves stimulating the production
sweat. of sweat with a special device and collecting the
This procedure will require the child to sweat on filter paper, and measuring the sweat
be NPO (nothing by mouth). electrolytes. It has been the gold standard for di-
It is a simple and reliable test that agnosing CF for the past 40 years.
measures the chloride in sweat.
4. The parents have been at the client's Make arrangements to meet privately at the first
bedside since she was admitted to the opportunity.
hospital. The father asks to speak to
the nurse outside in the hall. He tells One of the most supportive interventions for fami-
the nurse that the mother is telling lies of children with chronic health care conditions
everyone that the client is going to or special needs is to accept the family's emotion-
be fine and that there has just been al reactions to the diagnosis in a non-judgmental
a mistake and everything will be all manner. The nurse should meet to assess the situ-
right. What action should the nurse ation before taking further action.
take first?
Schedule an appointment for Pamela
with the hospital's chaplain.
Suggest that they sit down and talk
about the situation.
Refer to a professional counselor.
Make arrangements to meet privately
at the first opportunity.
5. The nurse meets to discuss the de- "I know this has to be a very scary and diflcult time
nial of the child's diagnosis. During for you. What can I do to help you?"
the conversation, the mother final-
Beneficence is characterized by acts or personal
, HESI: Cystic Fibrosis Questions and Rationale Graded A+
ly breaks down crying and tells the qualities of mercy, kindness, generosity, and char-
nurse, "I just can't believe what I have ity. It is suggestive of altruism, love, humanity, and
been thinking. My child is going to promoting the good of others. This response pro-
die, and it is all my husband's fault! motes good (beneficence) by ottering a non-judg-
I should never have married him. No mental, supportive reply.
one in my family has ever had this dis-
ease. My husband is adopted and his
parents do not know anything about
his biological background. His biolog-
ical parents must have had this nasty
disease and now he has passed it on to
my baby. I am such a terrible wife and
mother for having these thoughts, but
I just can't bear to watch my precious
baby suffer."
What response reflects that the nurse
values the principle of beneficence?
"No one ever knows when they will die.
She could live for a long time."
"This seems like an ethical dilemma to
me. I'll refer it to the ethics commit-
tee."
"I think you probably should contact
an attorney to discuss this if you're re-
ally serious."
"I know this has to be a very scary and
difficult time for you. What can I do to
help you?"
6.
1. Which assessment supports the diag- Weight loss and delayed growth despite a hearty
nosis of CF? appetite.
A fever of 102 ºF (38.9 ºC), inflamed Pancreatic insuflciency and malabsorption are
larynx with exudate. characteristic of CF and result in weight loss and
Eyes with redness and yellow exu- delayed growth.
date.
Weight loss and delayed growth de-
spite a hearty appetite.
A brassy cough with inspiratory stri-
dor.
2. Which documentation further sup- A history of frequent respiratory infections.
ports the diagnosis of CF? Select all
that apply The respiratory system is attected by abnormally
thick, sticky secretions that cause airway obstruc-
A history of frequent respiratory infec- tion to the lungs. Other clinical manifestations of
tions. CF include poor growth and/or weight loss, a dry
An elevated white blood cell count and non-productive cough, and increased bleed-
(WBC). ing tendencies caused by a deficiency of the fat-sol-
Reports of episodic abdominal pain uble vitamin K.
and crying.
A sweat chloride level of 35 mEq/L (35 Bulky loose stools
mmol/L).
The term for undigested fat in the stools of clients
Bulky loose stools
with CF is steatorrhea. The foul smell is a result of
the presence of protein. Large, loose, and sticky are
also terms that characterize the stools of a client
with CF.
3. What information will the nurse in- It is a simple and reliable test that measures the
clude when teaching about the sweat chloride in sweat.
test?
, HESI: Cystic Fibrosis Questions and Rationale Graded A+
The sweat test is a simple, painless, and reliable
Informed consent will be needed for diagnostic test that is performed to determine the
this invasive, diagnostic test. amount of chloride in the client's sweat. The sweat
It will take 2 hours to obtain the chloride test involves stimulating the production
sweat. of sweat with a special device and collecting the
This procedure will require the child to sweat on filter paper, and measuring the sweat
be NPO (nothing by mouth). electrolytes. It has been the gold standard for di-
It is a simple and reliable test that agnosing CF for the past 40 years.
measures the chloride in sweat.
4. The parents have been at the client's Make arrangements to meet privately at the first
bedside since she was admitted to the opportunity.
hospital. The father asks to speak to
the nurse outside in the hall. He tells One of the most supportive interventions for fami-
the nurse that the mother is telling lies of children with chronic health care conditions
everyone that the client is going to or special needs is to accept the family's emotion-
be fine and that there has just been al reactions to the diagnosis in a non-judgmental
a mistake and everything will be all manner. The nurse should meet to assess the situ-
right. What action should the nurse ation before taking further action.
take first?
Schedule an appointment for Pamela
with the hospital's chaplain.
Suggest that they sit down and talk
about the situation.
Refer to a professional counselor.
Make arrangements to meet privately
at the first opportunity.
5. The nurse meets to discuss the de- "I know this has to be a very scary and diflcult time
nial of the child's diagnosis. During for you. What can I do to help you?"
the conversation, the mother final-
Beneficence is characterized by acts or personal
, HESI: Cystic Fibrosis Questions and Rationale Graded A+
ly breaks down crying and tells the qualities of mercy, kindness, generosity, and char-
nurse, "I just can't believe what I have ity. It is suggestive of altruism, love, humanity, and
been thinking. My child is going to promoting the good of others. This response pro-
die, and it is all my husband's fault! motes good (beneficence) by ottering a non-judg-
I should never have married him. No mental, supportive reply.
one in my family has ever had this dis-
ease. My husband is adopted and his
parents do not know anything about
his biological background. His biolog-
ical parents must have had this nasty
disease and now he has passed it on to
my baby. I am such a terrible wife and
mother for having these thoughts, but
I just can't bear to watch my precious
baby suffer."
What response reflects that the nurse
values the principle of beneficence?
"No one ever knows when they will die.
She could live for a long time."
"This seems like an ethical dilemma to
me. I'll refer it to the ethics commit-
tee."
"I think you probably should contact
an attorney to discuss this if you're re-
ally serious."
"I know this has to be a very scary and
difficult time for you. What can I do to
help you?"
6.
