NRSG 2300 Cystic Fibrosis Exam 3 Questions With
Complete Solutions
A 9 month old child with cystic fibrosis does not like taking the
pancreatic enzyme supplement with meals and snacks. The
mother does not like to force the child to take the supplement.
The most important reason for the child to take the pancreatic
enzyme supplement with meals and snacks is:
A. The child will become dehydrated if the supplement is not
taken with meals and snacks
B. The child needs these pancreatic enzymes to help the
digestive system absorb fats, carbohydrates and proteins
C. The child needs the pancreatic enzymes to aid in liquefying
mucus to keep the lungs clear
D. The child will experience severe diarrhea if the supplement is
not taken as prescribed Correct Answer B. The child needs
these pancreatic enzymes to help the digestive system absorb
fats, carbohydrates and proteins
They must take the pancreatic enzyme supplement with meals
and snacks to help absorb nutrients so he can grow and develop
normally. In cystic fibrosis, the normally liquid mucus is
tenacious and blocks three digestive enzymes from entering the
duodenum and digesting essential nutrients. Without the
supplemental pancreatic enzymes, the child will have
voluminous, foul fatty stools. Due to the undigested nutrients,
they may experience developmental delays due to malnutrition.
The pancreatic enzymes have no effect on the viscosity of the
tenacious mucus. Diarrhea is not caused by failing to take the
pancreatic enzyme supplement.
, A client's diagnosis of cystic fibrosis was made 13 years ago and
he has since been hospitalized several times. On the latest
admission the client has labored respirations fatigue,
malnutrition and failure to thrive. Which nursing actions are
most important initially?
A. Placing the client on bed rest and ordering a blood gas
analysis
B. Ordering a high calorie, high protein low fat vitamin enriched
diet and pancreatic granules
C. Applying an oximeter and initiating respiratory therapy
D. Inserting an IV line and initiating antibiotic therapy Correct
Answer C. Applying an oximeter and initiating respiratory
therapy
Clients commonly die from respiratory problems. The mucus in
the lungs is tenacious and difficult to expel leading to lung
infections and interference with oxygen and carbon dioxide
exchange. The client will likely need supplemental oxygen and
respiratory treatments to maintain adequate gas exchange, as
identified by oximeter reading. The child will be on bed rest due
to respiratory distress. However although blood gases will
probably be ordered, the oximeter readings will be used to
determine oxygen deficit and are therefore more of a priority.
Diet high in calories, proteins and vitamins with pancreatic
granules added to all foods ingested will increase nutrient
absorption and help decease malnutrition. Inserting an IV to
administer antibiotic is important and can be done after ensuring
adequate respiratory function.
Complete Solutions
A 9 month old child with cystic fibrosis does not like taking the
pancreatic enzyme supplement with meals and snacks. The
mother does not like to force the child to take the supplement.
The most important reason for the child to take the pancreatic
enzyme supplement with meals and snacks is:
A. The child will become dehydrated if the supplement is not
taken with meals and snacks
B. The child needs these pancreatic enzymes to help the
digestive system absorb fats, carbohydrates and proteins
C. The child needs the pancreatic enzymes to aid in liquefying
mucus to keep the lungs clear
D. The child will experience severe diarrhea if the supplement is
not taken as prescribed Correct Answer B. The child needs
these pancreatic enzymes to help the digestive system absorb
fats, carbohydrates and proteins
They must take the pancreatic enzyme supplement with meals
and snacks to help absorb nutrients so he can grow and develop
normally. In cystic fibrosis, the normally liquid mucus is
tenacious and blocks three digestive enzymes from entering the
duodenum and digesting essential nutrients. Without the
supplemental pancreatic enzymes, the child will have
voluminous, foul fatty stools. Due to the undigested nutrients,
they may experience developmental delays due to malnutrition.
The pancreatic enzymes have no effect on the viscosity of the
tenacious mucus. Diarrhea is not caused by failing to take the
pancreatic enzyme supplement.
, A client's diagnosis of cystic fibrosis was made 13 years ago and
he has since been hospitalized several times. On the latest
admission the client has labored respirations fatigue,
malnutrition and failure to thrive. Which nursing actions are
most important initially?
A. Placing the client on bed rest and ordering a blood gas
analysis
B. Ordering a high calorie, high protein low fat vitamin enriched
diet and pancreatic granules
C. Applying an oximeter and initiating respiratory therapy
D. Inserting an IV line and initiating antibiotic therapy Correct
Answer C. Applying an oximeter and initiating respiratory
therapy
Clients commonly die from respiratory problems. The mucus in
the lungs is tenacious and difficult to expel leading to lung
infections and interference with oxygen and carbon dioxide
exchange. The client will likely need supplemental oxygen and
respiratory treatments to maintain adequate gas exchange, as
identified by oximeter reading. The child will be on bed rest due
to respiratory distress. However although blood gases will
probably be ordered, the oximeter readings will be used to
determine oxygen deficit and are therefore more of a priority.
Diet high in calories, proteins and vitamins with pancreatic
granules added to all foods ingested will increase nutrient
absorption and help decease malnutrition. Inserting an IV to
administer antibiotic is important and can be done after ensuring
adequate respiratory function.
