You are admitting a new patient to the unit who has a history of chronic cough with sputum production, persistent infection, and x-ray evidence of bronchiectasis and chronic sinusitis with nasal polyps

Which disease process would you suspect this patient has?
A) Emphysema
B) COPD
C) Cystic fibrosis
D) Chronic bronchitis


Ans: C

Feedback: The consensus statement of the CF Foundations on the diagnosis of CF identifies key aspects of the phenotype: chronic sinopulmonary disease as manifested by chronic cough and sputum production, persistent infection consistent with typical CF pathogens, and x-ray evidence of bronchiectasis and chronic sinusitis, often with nasal polyps. In emphysema you would find a barrel chest and x-ray findings of an abnormal distention of the air spaces. COPD findings would include dyspnea on exertion. Chronic bronchitis exhibits a narrowed bronchus with impaired air flow.

Nursing

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