A 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.
ANS: D
Routine scheduling of airway clearance techniques is an essential intervention for patients with CF. A sweat chloride test is used to diagnose CF, but it does not provide any information about the effectiveness of therapy. There is no indication that the patient is terminally ill. Patients with CF lose excessive sodium in their sweat and require high amounts of dietary sodium.
You might also like to view...
Which of the following cholesterol values indicates a heightened risk for the development of CAD?
a. Total cholesterol level of 170 mg/dL c. Triglyceride level of 120 mg/dL b. HDL cholesterol level of 30 mg/dL d. LDL cholesterol level >190 mg/dL
When assessing heart sounds, the nurse is aware that the time between S2 and S1:
A) Indicates inadequate blood pressure B) Indicates inadequate pulse pressure C) Corresponds to diastole D) Corresponds to systole
The nurse is preparing a list of patients who will need the annual influenza inoculation. Which older adult will most likely refuse this vaccination?
A) A 71-year-old Christian Scientist B) A 68-year-old man who attends a Unitarian church C) A 68-year-old female patient who identifies herself on admission as a Jehovah's Witness D) A 78-year-old who says that she is a member of the Church of Jesus Christ of Latter Day Saints
A client is prescribed sulfadiazine one tablet twice daily for 10 days. When reviewing the client's history, the nurse notes that the client is also taking warfarin. The nurse would be alert for which of the following?
A) Prolonged clotting times B) Increased risk of infection C) Decreased antibiotic effect D) Decreased white blood cell count