The nurse who is caring for a 6-year-old patient with cystic fibrosis nurse knows that the key feature in the presentation of cystic fibrosis includes which of the following?
A) Airway obstruction
B) Obstructed bowel
C) Salty sweat
D) Clubbing of the extremities
Ans: A
Feedback: Airflow obstruction is a key feature in the presentation of cystic fibrosis. This obstruction is due to bronchial plugging by purulent secretions, bronchial thickening due to inflammation, and, over time, airway destruction. There is increased salt content in sweat of patients with cystic fibrosis. Chloride transport problems lead to thick, viscous secretions in the intestine that may cause an obstructed bowel. Nonpulmonary clinical manifestations include clubbing of the extremities.
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The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR) include:
1. Albuterol 2. MMR vaccine 3. Insulin 4. None of the above
After a heparin drip is discontinued and the APTT is prescribed, what is the most important order the nurse would expect next?
a. platelet count b. WBC count c. renal function tests d. monitor the clients fluid intake and output