NU373 Week 4 HESI Case Study: Cystic Fibrosis - 26 questions
Study online at https://quizlet.com/_amp1qo
1. Parents bring their 24-month-old child o Weight loss and delayed growth despite a
to the metropolitan area's family care hearty appetite.
clinic. The reason for the visit is to es-
tablish a primary healthcare provider · Pancreatic insufficiency and malabsorption are
(HCP) for the family's healthcare main- characteristic of CF and result in weight loss and
tenance. The child also appears to be delayed growth.
suffering from a cold, experiencing rhi-
norrhea noted to be thick and tenacious
and a dry cough which the parent states
began a couple of days ago. The nurse
suspects that the client may have cystic
fibrosis (CF).
Which assessment supports the diag-
nosis of CF?
o A fever of 102 ºF (38.9 ºC), inflamed
larynx with exudate.
o Eyes with redness and yellow exu-
date.
o Weight loss and delayed growth de-
spite a hearty appetite.
o A brassy cough with inspiratory stri-
dor.
2. Which documentation further supports o A history of frequent respiratory infections.
the diagnosis of CF? Select all that ap- · The respiratory system is affected by abnormally
ply. thick, sticky secretions that cause airway obstruc-
tion to the lungs. Other clinical manifestations
o A history of frequent respiratory infec- of CF include poor growth and/or weight loss,
tions. a dry and non-productive cough, and increased
, NU373 Week 4 HESI Case Study: Cystic Fibrosis - 26 questions
Study online at https://quizlet.com/_amp1qo
o An elevated white blood cell count bleeding tendencies caused by a deficiency of
(WBC). the fat-soluble vitamin K.
o Reports of episodic abdominal pain
and crying. o Bulky loose stools
o A sweat chloride level of 35 mEq/L (35 · The term for undigested fat in the stools of
mmol/L). clients with CF is steatorrhea. The foul smell is a
o Bulky loose stools 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 include o It is a simple and reliable test that measures the
when teaching about the sweat test? chloride in sweat.
o Informed consent will be needed for · The sweat test is a simple, painless, and reliable
this invasive, diagnostic test. diagnostic test that is performed to determine
o It will take 2 hours to obtain the the amount of chloride in the client's sweat. The
sweat. sweat chloride test involves stimulating the pro-
o This procedure will require the child to duction of sweat with a special device and collect-
be NPO (nothing by mouth). ing the sweat on filter paper, and measuring the
o It is a simple and reliable test that sweat electrolytes. It has been the gold standard
measures the chloride in sweat. for diagnosing CF for the past 40 years.
4. The HCP meets with the parents and in- o Make arrangements to meet privately at the
forms them that the sweat-chloride test first opportunity.
results highly suggest the diagnosis of
CF. The mother is very upset about the · One of the most supportive interventions for
news and insists that there is another families of children with chronic health care con-
explanation for the child's small stature ditions or special needs is to accept the fam-
and that some girls are just more petite ily's emotional reactions to the diagnosis in a
than others. The father asks the HCP if non-judgmental manner. The nurse should meet
there is another test to definitely con- to assess the situation before taking further ac-
firm the diagnosis. The HCP explains tion.
, NU373 Week 4 HESI Case Study: Cystic Fibrosis - 26 questions
Study online at https://quizlet.com/_amp1qo
that there is another test and arranges
for a DNA test to attempt to identify mu-
tations on chromosome 7, which is re-
sponsible for the cystic fibrosis disease.
The parents have been at the client's
bedside since she was admitted to the
hospital. The father asks to speak to the
nurse outside in the hall. He tells the
nurse that the mother is telling every-
one that the client is going to be fine
and that there has just been a mistake
and everything will be all right. What
action should the nurse take first?
o Schedule an appointment for Pamela
with the hospital's chaplain.
o Suggest that they sit down and talk
about the situation.
o Refer to a professional counselor.
o Make arrangements to meet privately
at the first opportunity.
5. The nurse meets to discuss the de- o "I know this has to be a very scary and difficult
nial of the child's diagnosis. During the time for you. What can I do to help you?"
conversation, the mother finally breaks
down crying and tells the nurse, "I just · Beneficence is characterized by acts or person-
can't believe what I have been think- al qualities of mercy, kindness, generosity, and
ing. My child is going to die, and it is charity. It is suggestive of altruism, love, human-
all my husband's fault! I should never ity, and promoting the good of others. This re-
have married him. No one in my fam- sponse promotes good (beneficence) by offer-
ing a non-judgmental, supportive reply.
Study online at https://quizlet.com/_amp1qo
1. Parents bring their 24-month-old child o Weight loss and delayed growth despite a
to the metropolitan area's family care hearty appetite.
clinic. The reason for the visit is to es-
tablish a primary healthcare provider · Pancreatic insufficiency and malabsorption are
(HCP) for the family's healthcare main- characteristic of CF and result in weight loss and
tenance. The child also appears to be delayed growth.
suffering from a cold, experiencing rhi-
norrhea noted to be thick and tenacious
and a dry cough which the parent states
began a couple of days ago. The nurse
suspects that the client may have cystic
fibrosis (CF).
Which assessment supports the diag-
nosis of CF?
o A fever of 102 ºF (38.9 ºC), inflamed
larynx with exudate.
o Eyes with redness and yellow exu-
date.
o Weight loss and delayed growth de-
spite a hearty appetite.
o A brassy cough with inspiratory stri-
dor.
2. Which documentation further supports o A history of frequent respiratory infections.
the diagnosis of CF? Select all that ap- · The respiratory system is affected by abnormally
ply. thick, sticky secretions that cause airway obstruc-
tion to the lungs. Other clinical manifestations
o A history of frequent respiratory infec- of CF include poor growth and/or weight loss,
tions. a dry and non-productive cough, and increased
, NU373 Week 4 HESI Case Study: Cystic Fibrosis - 26 questions
Study online at https://quizlet.com/_amp1qo
o An elevated white blood cell count bleeding tendencies caused by a deficiency of
(WBC). the fat-soluble vitamin K.
o Reports of episodic abdominal pain
and crying. o Bulky loose stools
o A sweat chloride level of 35 mEq/L (35 · The term for undigested fat in the stools of
mmol/L). clients with CF is steatorrhea. The foul smell is a
o Bulky loose stools 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 include o It is a simple and reliable test that measures the
when teaching about the sweat test? chloride in sweat.
o Informed consent will be needed for · The sweat test is a simple, painless, and reliable
this invasive, diagnostic test. diagnostic test that is performed to determine
o It will take 2 hours to obtain the the amount of chloride in the client's sweat. The
sweat. sweat chloride test involves stimulating the pro-
o This procedure will require the child to duction of sweat with a special device and collect-
be NPO (nothing by mouth). ing the sweat on filter paper, and measuring the
o It is a simple and reliable test that sweat electrolytes. It has been the gold standard
measures the chloride in sweat. for diagnosing CF for the past 40 years.
4. The HCP meets with the parents and in- o Make arrangements to meet privately at the
forms them that the sweat-chloride test first opportunity.
results highly suggest the diagnosis of
CF. The mother is very upset about the · One of the most supportive interventions for
news and insists that there is another families of children with chronic health care con-
explanation for the child's small stature ditions or special needs is to accept the fam-
and that some girls are just more petite ily's emotional reactions to the diagnosis in a
than others. The father asks the HCP if non-judgmental manner. The nurse should meet
there is another test to definitely con- to assess the situation before taking further ac-
firm the diagnosis. The HCP explains tion.
, NU373 Week 4 HESI Case Study: Cystic Fibrosis - 26 questions
Study online at https://quizlet.com/_amp1qo
that there is another test and arranges
for a DNA test to attempt to identify mu-
tations on chromosome 7, which is re-
sponsible for the cystic fibrosis disease.
The parents have been at the client's
bedside since she was admitted to the
hospital. The father asks to speak to the
nurse outside in the hall. He tells the
nurse that the mother is telling every-
one that the client is going to be fine
and that there has just been a mistake
and everything will be all right. What
action should the nurse take first?
o Schedule an appointment for Pamela
with the hospital's chaplain.
o Suggest that they sit down and talk
about the situation.
o Refer to a professional counselor.
o Make arrangements to meet privately
at the first opportunity.
5. The nurse meets to discuss the de- o "I know this has to be a very scary and difficult
nial of the child's diagnosis. During the time for you. What can I do to help you?"
conversation, the mother finally breaks
down crying and tells the nurse, "I just · Beneficence is characterized by acts or person-
can't believe what I have been think- al qualities of mercy, kindness, generosity, and
ing. My child is going to die, and it is charity. It is suggestive of altruism, love, human-
all my husband's fault! I should never ity, and promoting the good of others. This re-
have married him. No one in my fam- sponse promotes good (beneficence) by offer-
ing a non-judgmental, supportive reply.
