Question 1

The mother of an 8-month-old baby who has developed respiratory syncytial virus (RSV)/bronchiolitis wants to know which factors contribute to the risk of contracting RSV. Which response by the nurse is appropriate?

Accepted Answer

A)The risk of infection with RSV is higher for infants and toddlers who are not breastfed, live in homes with secondary cigarette exposure, attend daycare, live in crowded conditions, or are socioeconomically disadvantaged. RSV can be avoided by limiting these risk factors.
B)The risk of infection with RSV is higher for infants and toddlers who are not breastfed, live in homes with secondary cigarette exposure, attend daycare, live in crowded conditions, or are socioeconomically disadvantaged. RSV can be avoided by limiting these risk factors.
C)The risk of infection with RSV is higher for infants and toddlers who are not breastfed, live in homes with secondary cigarette exposure, attend daycare, live in crowded conditions, or are socioeconomically disadvantaged. RSV can be avoided by limiting these risk factors.
D)The risk of infection with RSV is higher for infants and toddlers who are not breastfed, live in homes with secondary cigarette exposure, attend daycare, live in crowded conditions, or are socioeconomically disadvantaged. RSV can be avoided by limiting these risk factors.

Question 2

The nurse is developing a plan of care for a toddler diagnosed with respiratory syncytial virus (RSV). Which intervention is inappropriate for this client?

Accepted Answer

A)It would not be appropriate to encourage frequent ambulation. Nursing interventions should be introduced in an effort to reduce fatigue, such as allowing rest periods. All other interventions are appropriate for this client.
B)It would not be appropriate to encourage frequent ambulation. Nursing interventions should be introduced in an effort to reduce fatigue, such as allowing rest periods. All other interventions are appropriate for this client.
C)It would not be appropriate to encourage frequent ambulation. Nursing interventions should be introduced in an effort to reduce fatigue, such as allowing rest periods. All other interventions are appropriate for this client.
D)It would not be appropriate to encourage frequent ambulation. Nursing interventions should be introduced in an effort to reduce fatigue, such as allowing rest periods. All other interventions are appropriate for this client.

Question 3

The nurse is planning care for a child with respiratory syncytial virus (RSV)bronchiolitis. Which interventions should the nurse include in the child's plan of care to address the nursing diagnosis Impaired Gas Exchange? Select all that apply.

Accepted Answer

A)Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.
B)Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.
C)Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.
D)Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.
E)Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.

Question 4

The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis. The client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs. The client's vital signs are: P 138, R 43, T 101.3°F, BP 86/40, SpO₂88%. The client is coughing up thick, green mucus. What independent nursing intervention can the nurse implement to improve the client's oxygenation?

Accepted Answer

A)Percussion and postural drainage are chest physical therapy techniques that the nurse can implement to help clear the client's lungs of mucus, which will improve oxygenation. Administration of CFTR modulators and nutritional counseling are both collaborative interventions. Teaching the client to cough into a tissue is an infection control measure. It will not improve oxygenation compared to any other type of coughing. In addition, the client is likely too young to understand and follow through with this teaching consistently.
B)Percussion and postural drainage are chest physical therapy techniques that the nurse can implement to help clear the client's lungs of mucus, which will improve oxygenation. Administration of CFTR modulators and nutritional counseling are both collaborative interventions. Teaching the client to cough into a tissue is an infection control measure. It will not improve oxygenation compared to any other type of coughing. In addition, the client is likely too young to understand and follow through with this teaching consistently.
C)Percussion and postural drainage are chest physical therapy techniques that the nurse can implement to help clear the client's lungs of mucus, which will improve oxygenation. Administration of CFTR modulators and nutritional counseling are both collaborative interventions. Teaching the client to cough into a tissue is an infection control measure. It will not improve oxygenation compared to any other type of coughing. In addition, the client is likely too young to understand and follow through with this teaching consistently.
D)Percussion and postural drainage are chest physical therapy techniques that the nurse can implement to help clear the client's lungs of mucus, which will improve oxygenation. Administration of CFTR modulators and nutritional counseling are both collaborative interventions. Teaching the client to cough into a tissue is an infection control measure. It will not improve oxygenation compared to any other type of coughing. In addition, the client is likely too young to understand and follow through with this teaching consistently.

Question 5

The mother of a 5-month-old baby, who attends daycare, is concerned because the child has developed a runny nose, cough, and low-grade fever over the last few days. These symptoms are consistent with which condition?

Accepted Answer

A)The typical clinical presentation of respiratory syncytial virus (RSV)bronchiolitis in otherwise healthy children begins 3-5 days after exposure to the virus. The early signs of a mild infection include rhinorrhea or a runny nose, cough, irritability, and a low-grade fever for 1-3 days. A fever is not associated with the common cold. A runny nose and cough are not symptoms associated with meningitis. Bronchitis has a distinctive cough and may or may not be associated with a fever.
B)The typical clinical presentation of respiratory syncytial virus (RSV)bronchiolitis in otherwise healthy children begins 3-5 days after exposure to the virus. The early signs of a mild infection include rhinorrhea or a runny nose, cough, irritability, and a low-grade fever for 1-3 days. A fever is not associated with the common cold. A runny nose and cough are not symptoms associated with meningitis. Bronchitis has a distinctive cough and may or may not be associated with a fever.
C)The typical clinical presentation of respiratory syncytial virus (RSV)bronchiolitis in otherwise healthy children begins 3-5 days after exposure to the virus. The early signs of a mild infection include rhinorrhea or a runny nose, cough, irritability, and a low-grade fever for 1-3 days. A fever is not associated with the common cold. A runny nose and cough are not symptoms associated with meningitis. Bronchitis has a distinctive cough and may or may not be associated with a fever.
D)The typical clinical presentation of respiratory syncytial virus (RSV)bronchiolitis in otherwise healthy children begins 3-5 days after exposure to the virus. The early signs of a mild infection include rhinorrhea or a runny nose, cough, irritability, and a low-grade fever for 1-3 days. A fever is not associated with the common cold. A runny nose and cough are not symptoms associated with meningitis. Bronchitis has a distinctive cough and may or may not be associated with a fever.

Question 6

The nurse working in the emergency department (ED)is assessing an infant client. Which findings does the nurse anticipate in a child diagnosed with respiratory syncytial virus (RSV)? Select all that apply.

Accepted Answer

A)The early signs of RSV include rhinorrhea (drainage of mucus from the nose), cough, irritability, and a low-grade fever for 1-3 days. Other clinical manifestations include, but are not limited to, tachypnea (not bradypnea), wheezing, and grunting.
B)The early signs of RSV include rhinorrhea (drainage of mucus from the nose), cough, irritability, and a low-grade fever for 1-3 days. Other clinical manifestations include, but are not limited to, tachypnea (not bradypnea), wheezing, and grunting.
C)The early signs of RSV include rhinorrhea (drainage of mucus from the nose), cough, irritability, and a low-grade fever for 1-3 days. Other clinical manifestations include, but are not limited to, tachypnea (not bradypnea), wheezing, and grunting.
D)The early signs of RSV include rhinorrhea (drainage of mucus from the nose), cough, irritability, and a low-grade fever for 1-3 days. Other clinical manifestations include, but are not limited to, tachypnea (not bradypnea), wheezing, and grunting.
E)The early signs of RSV include rhinorrhea (drainage of mucus from the nose), cough, irritability, and a low-grade fever for 1-3 days. Other clinical manifestations include, but are not limited to, tachypnea (not bradypnea), wheezing, and grunting.

Question 7

The nurse is providing teaching to the client who is pregnant and has cystic fibrosis. The nurse should explain that the client is at increased risk for which condition?

Accepted Answer

A)Because of changes in the secretion of insulin in many clients with cystic fibrosis, pregnant women who do not already have diabetes are at increased risk of developing gestational diabetes during pregnancy. Many clients are able to have a natural birth, so planning ahead for an emergency delivery is not necessary. Cystic fibrosis does not increase the client's risk of spontaneous abortion or placenta previa.
B)Because of changes in the secretion of insulin in many clients with cystic fibrosis, pregnant women who do not already have diabetes are at increased risk of developing gestational diabetes during pregnancy. Many clients are able to have a natural birth, so planning ahead for an emergency delivery is not necessary. Cystic fibrosis does not increase the client's risk of spontaneous abortion or placenta previa.
C)Because of changes in the secretion of insulin in many clients with cystic fibrosis, pregnant women who do not already have diabetes are at increased risk of developing gestational diabetes during pregnancy. Many clients are able to have a natural birth, so planning ahead for an emergency delivery is not necessary. Cystic fibrosis does not increase the client's risk of spontaneous abortion or placenta previa.
D)Because of changes in the secretion of insulin in many clients with cystic fibrosis, pregnant women who do not already have diabetes are at increased risk of developing gestational diabetes during pregnancy. Many clients are able to have a natural birth, so planning ahead for an emergency delivery is not necessary. Cystic fibrosis does not increase the client's risk of spontaneous abortion or placenta previa.

Question 8

The clinic nurse is educating a group of new moms on the risk factors and prevention of respiratory syncytial virus (RSV). What should the nurse stress as the best way to prevent RSV?

Accepted Answer

A)The best way to prevent RSV is through good hand hygiene and infection-control measures. Monitoring temperature would not prevent infection but would be appropriate for monitoring infection. Administering antibiotics is usually ordered by the physician when a bacterial infection is suspected, not a viral infection. There is no indication of the need to limit fluids, which could potentially produce other complications.
B)The best way to prevent RSV is through good hand hygiene and infection-control measures. Monitoring temperature would not prevent infection but would be appropriate for monitoring infection. Administering antibiotics is usually ordered by the physician when a bacterial infection is suspected, not a viral infection. There is no indication of the need to limit fluids, which could potentially produce other complications.
C)The best way to prevent RSV is through good hand hygiene and infection-control measures. Monitoring temperature would not prevent infection but would be appropriate for monitoring infection. Administering antibiotics is usually ordered by the physician when a bacterial infection is suspected, not a viral infection. There is no indication of the need to limit fluids, which could potentially produce other complications.
D)The best way to prevent RSV is through good hand hygiene and infection-control measures. Monitoring temperature would not prevent infection but would be appropriate for monitoring infection. Administering antibiotics is usually ordered by the physician when a bacterial infection is suspected, not a viral infection. There is no indication of the need to limit fluids, which could potentially produce other complications.

Question 9

A 7-year-old client is hospitalized due to complications related to cystic fibrosis. The nurse is responsible for administering medications and performing chest physical therapy. In which order should the nurse perform these actions?

Accepted Answer

Inhaled medications should be administered before placing the client in a position for postural drainage and performing percussion. In particular, albuterol, a bronchodilator, should be administered before chest physical therapy and before other inhaled medications. Therefore, albuterol should be administered first, followed by hypertonic saline. Then chest physical therapy should be performed by first placing the client in a position for postural drainage and then performing percussion on the client's back and chest. After the medications and therapy are completed, administration of oxygen by nasal cannula will be more effective.

Question 10

An infant with respiratory syncytial virus (RSV)bronchiolitis is prescribed intubation to maintain an adequate airway. Who will the nurse collaborate with to maintain the endotracheal tube and ventilation?

Accepted Answer

A)Infants who need endotracheal intubation will be closely cared for by the respiratory therapist. The advanced practice nurse, primary healthcare provider, and play therapist are not responsible for maintaining the client's endotracheal tube and ventilation.
B)Infants who need endotracheal intubation will be closely cared for by the respiratory therapist. The advanced practice nurse, primary healthcare provider, and play therapist are not responsible for maintaining the client's endotracheal tube and ventilation.
C)Infants who need endotracheal intubation will be closely cared for by the respiratory therapist. The advanced practice nurse, primary healthcare provider, and play therapist are not responsible for maintaining the client's endotracheal tube and ventilation.
D)Infants who need endotracheal intubation will be closely cared for by the respiratory therapist. The advanced practice nurse, primary healthcare provider, and play therapist are not responsible for maintaining the client's endotracheal tube and ventilation.

Question 11

Which prevention strategies would be the most beneficial for the nurse to discuss with the parents of a child who has had repeated admissions for respiratory syncytial virus (RSV)bronchiolitis? Select all that apply.

Accepted Answer

A)Exposure to cigarette smoke and attending daycare are both risk factors for RSV/bronchiolitis. The nurse should discuss with the parents smoking cessation and alternative methods of childcare. Practicing frequent hand washing is a primary prevention method for RSV, so this should be practiced by the parents. Nutritional intake and physical activity are good for maintaining general health, but they are not specific for preventing RSV/bronchiolitis.
B)Exposure to cigarette smoke and attending daycare are both risk factors for RSV/bronchiolitis. The nurse should discuss with the parents smoking cessation and alternative methods of childcare. Practicing frequent hand washing is a primary prevention method for RSV, so this should be practiced by the parents. Nutritional intake and physical activity are good for maintaining general health, but they are not specific for preventing RSV/bronchiolitis.
C)Exposure to cigarette smoke and attending daycare are both risk factors for RSV/bronchiolitis. The nurse should discuss with the parents smoking cessation and alternative methods of childcare. Practicing frequent hand washing is a primary prevention method for RSV, so this should be practiced by the parents. Nutritional intake and physical activity are good for maintaining general health, but they are not specific for preventing RSV/bronchiolitis.
D)Exposure to cigarette smoke and attending daycare are both risk factors for RSV/bronchiolitis. The nurse should discuss with the parents smoking cessation and alternative methods of childcare. Practicing frequent hand washing is a primary prevention method for RSV, so this should be practiced by the parents. Nutritional intake and physical activity are good for maintaining general health, but they are not specific for preventing RSV/bronchiolitis.
E)Exposure to cigarette smoke and attending daycare are both risk factors for RSV/bronchiolitis. The nurse should discuss with the parents smoking cessation and alternative methods of childcare. Practicing frequent hand washing is a primary prevention method for RSV, so this should be practiced by the parents. Nutritional intake and physical activity are good for maintaining general health, but they are not specific for preventing RSV/bronchiolitis.

Question 12

The nurse assesses fatigue in an infant with acute bronchiolitis due to respiratory syncytial virus (RSV). Which nursing diagnosis would be most appropriate for the infant?

Accepted Answer

A)Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Increased levels of fatigue may indicate the disease is more severe. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion is not affected by this respiratory disease process.
B)Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Increased levels of fatigue may indicate the disease is more severe. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion is not affected by this respiratory disease process.
C)Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Increased levels of fatigue may indicate the disease is more severe. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion is not affected by this respiratory disease process.
D)Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Increased levels of fatigue may indicate the disease is more severe. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion is not affected by this respiratory disease process.

Question 13

What is the best way nurses can help clients reduce the risk of COPD?

Accepted Answer

A)The primary cause of COPD is smoking, so nurses can reduce the risk of clients developing COPD by providing smoking cessation resources and encouraging clients to follow through with plans to stop smoking. Vaccinations, proper nutrition, and healthy exercise habits may reduce the risk of COPD, but smoking cessation is the best way to prevent COPD.
B)The primary cause of COPD is smoking, so nurses can reduce the risk of clients developing COPD by providing smoking cessation resources and encouraging clients to follow through with plans to stop smoking. Vaccinations, proper nutrition, and healthy exercise habits may reduce the risk of COPD, but smoking cessation is the best way to prevent COPD.
C)The primary cause of COPD is smoking, so nurses can reduce the risk of clients developing COPD by providing smoking cessation resources and encouraging clients to follow through with plans to stop smoking. Vaccinations, proper nutrition, and healthy exercise habits may reduce the risk of COPD, but smoking cessation is the best way to prevent COPD.
D)The primary cause of COPD is smoking, so nurses can reduce the risk of clients developing COPD by providing smoking cessation resources and encouraging clients to follow through with plans to stop smoking. Vaccinations, proper nutrition, and healthy exercise habits may reduce the risk of COPD, but smoking cessation is the best way to prevent COPD.

Question 14

Which population should the nurse assigned to care for pediatric clients recognize as having the highest risk of hospitalization due to RSV?

Accepted Answer

A)RSV is a major cause of hospitalization among Alaskan Native infants and is responsible for one-third of hospitalizations of children younger than 3 years in Alaska. The rate of hospitalization is three to five times higher for Alaskan Native infants than for other infants.
B)RSV is a major cause of hospitalization among Alaskan Native infants and is responsible for one-third of hospitalizations of children younger than 3 years in Alaska. The rate of hospitalization is three to five times higher for Alaskan Native infants than for other infants.
C)RSV is a major cause of hospitalization among Alaskan Native infants and is responsible for one-third of hospitalizations of children younger than 3 years in Alaska. The rate of hospitalization is three to five times higher for Alaskan Native infants than for other infants.
D)RSV is a major cause of hospitalization among Alaskan Native infants and is responsible for one-third of hospitalizations of children younger than 3 years in Alaska. The rate of hospitalization is three to five times higher for Alaskan Native infants than for other infants.

Question 15

For couples in which both individuals carry one defective CF gene, any offspring from the couple has a ________ percent chance of inheriting two abnormal genes and developing cystic fibrosis.

Accepted Answer

A)When both parents are carriers of the CF gene, each conception allows for a 25% possibility that two abnormal genes will be passed to the child, along with a 50% possibility that the child will be a carrier of one CF gene. Each conception also allows for a 25% possibility that the child will not carry the CF gene.
B)When both parents are carriers of the CF gene, each conception allows for a 25% possibility that two abnormal genes will be passed to the child, along with a 50% possibility that the child will be a carrier of one CF gene. Each conception also allows for a 25% possibility that the child will not carry the CF gene.
C)When both parents are carriers of the CF gene, each conception allows for a 25% possibility that two abnormal genes will be passed to the child, along with a 50% possibility that the child will be a carrier of one CF gene. Each conception also allows for a 25% possibility that the child will not carry the CF gene.
D)When both parents are carriers of the CF gene, each conception allows for a 25% possibility that two abnormal genes will be passed to the child, along with a 50% possibility that the child will be a carrier of one CF gene. Each conception also allows for a 25% possibility that the child will not carry the CF gene.

Question 16

Besides the respiratory system, which system would be critical for the nurse to assess in a client recently diagnosed with cystic fibrosis?

Accepted Answer

A)In addition to respiratory alterations, clients with cystic fibrosis often have alterations to the gastrointestinal system. In particular, obstruction of pancreatic ducts by thick mucus impairs the production of pancreatic enzymes that are necessary for food digestion. This results in malnutrition, chronic diarrhea, and impaired insulin production. Cystic fibrosis does not affect the nervous system, musculoskeletal system, or urinary system directly.
B)In addition to respiratory alterations, clients with cystic fibrosis often have alterations to the gastrointestinal system. In particular, obstruction of pancreatic ducts by thick mucus impairs the production of pancreatic enzymes that are necessary for food digestion. This results in malnutrition, chronic diarrhea, and impaired insulin production. Cystic fibrosis does not affect the nervous system, musculoskeletal system, or urinary system directly.
C)In addition to respiratory alterations, clients with cystic fibrosis often have alterations to the gastrointestinal system. In particular, obstruction of pancreatic ducts by thick mucus impairs the production of pancreatic enzymes that are necessary for food digestion. This results in malnutrition, chronic diarrhea, and impaired insulin production. Cystic fibrosis does not affect the nervous system, musculoskeletal system, or urinary system directly.
D)In addition to respiratory alterations, clients with cystic fibrosis often have alterations to the gastrointestinal system. In particular, obstruction of pancreatic ducts by thick mucus impairs the production of pancreatic enzymes that are necessary for food digestion. This results in malnutrition, chronic diarrhea, and impaired insulin production. Cystic fibrosis does not affect the nervous system, musculoskeletal system, or urinary system directly.

Question 17

The nurse observes a toddler, admitted with possible respiratory syncytial virus (RSV)bronchiolitis, grunting with expiration. Which action by the nurse is appropriate?

Accepted Answer

A)Grunting is seen with partial airway obstruction caused by increased secretions and edema. The nurse should suction the airway to relieve the obstruction. Laying the child on his back will not improve the child's ability to breathe. Fluids should be increased to thin secretions. Assisting the child to clear the nasal passages would be applicable if the child were experiencing rhinorrhea.
B)Grunting is seen with partial airway obstruction caused by increased secretions and edema. The nurse should suction the airway to relieve the obstruction. Laying the child on his back will not improve the child's ability to breathe. Fluids should be increased to thin secretions. Assisting the child to clear the nasal passages would be applicable if the child were experiencing rhinorrhea.
C)Grunting is seen with partial airway obstruction caused by increased secretions and edema. The nurse should suction the airway to relieve the obstruction. Laying the child on his back will not improve the child's ability to breathe. Fluids should be increased to thin secretions. Assisting the child to clear the nasal passages would be applicable if the child were experiencing rhinorrhea.
D)Grunting is seen with partial airway obstruction caused by increased secretions and edema. The nurse should suction the airway to relieve the obstruction. Laying the child on his back will not improve the child's ability to breathe. Fluids should be increased to thin secretions. Assisting the child to clear the nasal passages would be applicable if the child were experiencing rhinorrhea.

Question 18

A 15-year-old client with cystic fibrosis asks why she has not started her menstrual period yet. Which response by the nurse is correct?

Accepted Answer

A)Disease-related nutritional deficiencies may interfere with normal reproductive development, causing some girls with cystic fibrosis to not experience menstruation. They do not usually start menstruating earlier than their peers, nor does their period usually start specifically at age 16. CF affects the thickness of mucus secretions, but it does not affect the thickness of the blood. Therefore, the statement about heavy periods is inaccurate.
B)Disease-related nutritional deficiencies may interfere with normal reproductive development, causing some girls with cystic fibrosis to not experience menstruation. They do not usually start menstruating earlier than their peers, nor does their period usually start specifically at age 16. CF affects the thickness of mucus secretions, but it does not affect the thickness of the blood. Therefore, the statement about heavy periods is inaccurate.
C)Disease-related nutritional deficiencies may interfere with normal reproductive development, causing some girls with cystic fibrosis to not experience menstruation. They do not usually start menstruating earlier than their peers, nor does their period usually start specifically at age 16. CF affects the thickness of mucus secretions, but it does not affect the thickness of the blood. Therefore, the statement about heavy periods is inaccurate.
D)Disease-related nutritional deficiencies may interfere with normal reproductive development, causing some girls with cystic fibrosis to not experience menstruation. They do not usually start menstruating earlier than their peers, nor does their period usually start specifically at age 16. CF affects the thickness of mucus secretions, but it does not affect the thickness of the blood. Therefore, the statement about heavy periods is inaccurate.

Question 19

The ion that cannot be regulated properly in clients with cystic fibrosis is

Accepted Answer

A)Cystic fibrosis stems from dysfunction of the CFTR protein, which controls movement of chloride into and out of cells. This may also affect transport of sodium in the form of sodium chloride, but the primary ion affected is chloride. Regulation of calcium and potassium is not affected in cystic fibrosis.
B)Cystic fibrosis stems from dysfunction of the CFTR protein, which controls movement of chloride into and out of cells. This may also affect transport of sodium in the form of sodium chloride, but the primary ion affected is chloride. Regulation of calcium and potassium is not affected in cystic fibrosis.
C)Cystic fibrosis stems from dysfunction of the CFTR protein, which controls movement of chloride into and out of cells. This may also affect transport of sodium in the form of sodium chloride, but the primary ion affected is chloride. Regulation of calcium and potassium is not affected in cystic fibrosis.
D)Cystic fibrosis stems from dysfunction of the CFTR protein, which controls movement of chloride into and out of cells. This may also affect transport of sodium in the form of sodium chloride, but the primary ion affected is chloride. Regulation of calcium and potassium is not affected in cystic fibrosis.

Question 20

The nurse is providing care to a client diagnosed with respiratory syncytial virus (RSV)bronchiolitis. Which assessment finding indicates that treatment has been effective?

Accepted Answer

A)Evidence that care is effective would include normal rate, rhythm, and quality of the breathing patterns for the client's age. The client who is resting in bed with limited interest in play or activities is not demonstrating an improvement in respiratory status. The client who is ingesting small amounts of fluids might still be experiencing thickened secretions. If the client is coughing copious amounts of green sputum and requiring occasional suctioning, the interventions have not been effective, as the child still needs assistance with clearing the airway.
B)Evidence that care is effective would include normal rate, rhythm, and quality of the breathing patterns for the client's age. The client who is resting in bed with limited interest in play or activities is not demonstrating an improvement in respiratory status. The client who is ingesting small amounts of fluids might still be experiencing thickened secretions. If the client is coughing copious amounts of green sputum and requiring occasional suctioning, the interventions have not been effective, as the child still needs assistance with clearing the airway.
C)Evidence that care is effective would include normal rate, rhythm, and quality of the breathing patterns for the client's age. The client who is resting in bed with limited interest in play or activities is not demonstrating an improvement in respiratory status. The client who is ingesting small amounts of fluids might still be experiencing thickened secretions. If the client is coughing copious amounts of green sputum and requiring occasional suctioning, the interventions have not been effective, as the child still needs assistance with clearing the airway.
D)Evidence that care is effective would include normal rate, rhythm, and quality of the breathing patterns for the client's age. The client who is resting in bed with limited interest in play or activities is not demonstrating an improvement in respiratory status. The client who is ingesting small amounts of fluids might still be experiencing thickened secretions. If the client is coughing copious amounts of green sputum and requiring occasional suctioning, the interventions have not been effective, as the child still needs assistance with clearing the airway.

Quiz 15: Oxygenation

The mother of an 8-month-old baby who has developed respiratory syncytial virus (RSV) /bronchiolitis wants to know which factors contribute to the risk of contracting RSV. Which response by the nurse is appropriate?

The nurse is developing a plan of care for a toddler diagnosed with respiratory syncytial virus (RSV) . Which intervention is inappropriate for this client?

The nurse is planning care for a child with respiratory syncytial virus (RSV) bronchiolitis. Which interventions should the nurse include in the child's plan of care to address the nursing diagnosis Impaired Gas Exchange? Select all that apply.

The mother of a 5-month-old baby, who attends daycare, is concerned because the child has developed a runny nose, cough, and low-grade fever over the last few days. These symptoms are consistent with which condition?

The nurse working in the emergency department (ED) is assessing an infant client. Which findings does the nurse anticipate in a child diagnosed with respiratory syncytial virus (RSV) ? Select all that apply.

The nurse is providing teaching to the client who is pregnant and has cystic fibrosis. The nurse should explain that the client is at increased risk for which condition?

The clinic nurse is educating a group of new moms on the risk factors and prevention of respiratory syncytial virus (RSV) . What should the nurse stress as the best way to prevent RSV?

A 7-year-old client is hospitalized due to complications related to cystic fibrosis. The nurse is responsible for administering medications and performing chest physical therapy. In which order should the nurse perform these actions?

An infant with respiratory syncytial virus (RSV) bronchiolitis is prescribed intubation to maintain an adequate airway. Who will the nurse collaborate with to maintain the endotracheal tube and ventilation?

Which prevention strategies would be the most beneficial for the nurse to discuss with the parents of a child who has had repeated admissions for respiratory syncytial virus (RSV) bronchiolitis? Select all that apply.

The nurse assesses fatigue in an infant with acute bronchiolitis due to respiratory syncytial virus (RSV) . Which nursing diagnosis would be most appropriate for the infant?