A young adult female patient with cystic fibrosis (CF) tells the nurse that she is not sure about getting married and having children some day. Which initial response by the nurse is best?
a. Are you aware of the normal lifespan for patients with CF?
b. Do you need any information to help you with that decision?
c. Many women with CF do not have difficulty conceiving children.
d. You will need to have genetic counseling before making a decision.
Question 2A patient in the clinic with cystic fibrosis (CF) reports increased sweating and weakness during the summer months. Which action by the nurse would be most appropriate?
a. Have the patient add dietary salt to meals.
b. Teach the patient about the signs of hypoglycemia.
c. Suggest decreasing intake of dietary fat and calories.
d. Instruct the patient about pancreatic enzyme replacements.
Question 3A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
a. Schedule a sweat chloride test.
b. Arrange for a hospice nurse visit.
c. Place the patient on a low-sodium diet.
d. Perform chest physiotherapy every 4 hours.
Question 4A 55-year-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD).
When teaching a patient about pulmonary function testing (PFT) for this condition, what is the most important question the nurse should ask?
a. Are you claustrophobic?
b. Are you allergic to shellfish?
c. Do you have any metal implants or prostheses?
d. Have you taken any bronchodilators in the past 6 hours?
Question 5A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would be most appropriate?
a. Have the patient rest in bed with the head elevated to 15 to 20 degrees.
b. Ask the patient to rest in bed in a high-Fowler's position with the knees flexed.
c. Encourage the patient to sit up at the bedside in a chair and lean slightly forward.
d. Place the patient in the Trendelenburg position with several pillows behind the head.
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