HESI RN Case Study - Cystic Fibrosis Peds Exam Test Questions with
Answers 2024
Meet the Client: Darla WilliamsPamela and Donald Williams bring their 24-month-old
daughter, Darla, to the metropolitan area's family care clinic. The reason for the visit is
to establish a primary healthcare provider (HCP) for the family's healthcare
maintenance. Darla also appears to be suffering from a cold. She is experiencing
rhinorrhea noted to be thick and tenacious and a dry cough which Darla's mother states
began a couple of days ago. - ✔️✔️-Physiological Integrity/Clinical Manifestations
The nurse suspects that Darla may have cystic fibrosis (CF).
Which statement by the mother supports the diagnosis of CF? - ✔️✔️-"When I kiss my
daughter, her skin tastes like salt."
Salty-tasting skin is a symptom of CF. It is caused by a high chloride and sodium
concentration produced by the sweat glands.
The healthcare provider (HCP) reviews Darla's medical chart.
Which documentation further supports the diagnosis of CF? - ✔️✔️-Reports of foul-
smelling stools that have white streaks and are sticky.
The term for undigested fat in the stools of clients 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.
, A history of frequent respiratory infections.
The respiratory system is affected by abnormally thick, sticky secretions that cause
airway obstruction to the lungs. Other clinical manifestations of CF include poor growth
and/or weight loss, a dry and non-productive cough, and increased bleeding tendencies
caused by a deficiency of the fat-soluble vitamin K.
The HCP prescribes a sweat test to confirm Darla's diagnosis of CF.
What information will the nurse include when teaching about the sweat test? - ✔️✔️-It
is a simple, painless, reliable test that measures the chloride in sweat.
The sweat test is a simple, painless, and reliable diagnostic test that is performed to
determine the amount of chloride in the client's sweat. It has been the gold standard for
diagnosing CF for the past 40 years.
The HCP meets with Darla's parents and informs them that the sweat-chloride test
results highly suggest the diagnosis of CF. Darla's mother is very upset about the news
and insists that there is another explanation for Darla's small stature and that some girls
are just more petite than others. Darla's father asks the HCP if there is another test to
definitely confirm the diagnosis. The HCP explains that there is another test and
arranges for a DNA test to attempt to identify mutations on chromosome 7, which is
responsible for the cystic fibrosis disease. - ✔️✔️-
Donald and Pamela have been at Darla's bedside since she was admitted to the
hospital. Donald asks to speak to the nurse outside in the hall. He tells the nurse that
Answers 2024
Meet the Client: Darla WilliamsPamela and Donald Williams bring their 24-month-old
daughter, Darla, to the metropolitan area's family care clinic. The reason for the visit is
to establish a primary healthcare provider (HCP) for the family's healthcare
maintenance. Darla also appears to be suffering from a cold. She is experiencing
rhinorrhea noted to be thick and tenacious and a dry cough which Darla's mother states
began a couple of days ago. - ✔️✔️-Physiological Integrity/Clinical Manifestations
The nurse suspects that Darla may have cystic fibrosis (CF).
Which statement by the mother supports the diagnosis of CF? - ✔️✔️-"When I kiss my
daughter, her skin tastes like salt."
Salty-tasting skin is a symptom of CF. It is caused by a high chloride and sodium
concentration produced by the sweat glands.
The healthcare provider (HCP) reviews Darla's medical chart.
Which documentation further supports the diagnosis of CF? - ✔️✔️-Reports of foul-
smelling stools that have white streaks and are sticky.
The term for undigested fat in the stools of clients 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.
, A history of frequent respiratory infections.
The respiratory system is affected by abnormally thick, sticky secretions that cause
airway obstruction to the lungs. Other clinical manifestations of CF include poor growth
and/or weight loss, a dry and non-productive cough, and increased bleeding tendencies
caused by a deficiency of the fat-soluble vitamin K.
The HCP prescribes a sweat test to confirm Darla's diagnosis of CF.
What information will the nurse include when teaching about the sweat test? - ✔️✔️-It
is a simple, painless, reliable test that measures the chloride in sweat.
The sweat test is a simple, painless, and reliable diagnostic test that is performed to
determine the amount of chloride in the client's sweat. It has been the gold standard for
diagnosing CF for the past 40 years.
The HCP meets with Darla's parents and informs them that the sweat-chloride test
results highly suggest the diagnosis of CF. Darla's mother is very upset about the news
and insists that there is another explanation for Darla's small stature and that some girls
are just more petite than others. Darla's father asks the HCP if there is another test to
definitely confirm the diagnosis. The HCP explains that there is another test and
arranges for a DNA test to attempt to identify mutations on chromosome 7, which is
responsible for the cystic fibrosis disease. - ✔️✔️-
Donald and Pamela have been at Darla's bedside since she was admitted to the
hospital. Donald asks to speak to the nurse outside in the hall. He tells the nurse that
