Cistic Fibrosis Case Study

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Cystic Fibrosis Meet the Client: Debbie Baker Paula and David Baker bring their 3-year-old adopted Caucasian daughter, Debbie, to the pediatrician reporting that she has recently been having large, greasy-looking stools. The pediatrician notes that Debbie has fallen below the 10th percentile in height and weight. Debbie appears to be unhealthy and is very listless. Clinical Manifestations The pediatrician suspects that Debbie may have cystic fibrosis (CF). 1. Which statement by the mother supports the diagnosis of CF? A) "My daughter went to bed feeling fine last night and woke up with a high fever and a sore throat." B) "Lately Debbie's eyes appear to have a yellow discoloration." C) "When I kiss my daughter, her skin tastes like salt." D) "I can hear her heart beating when I lay my head on her chest." Correct answer(s): C The pediatrician reviews Debbie's medical chart. 2. Which documentation further supports the diagnosis of CF? A) A history of frequent respiratory infections. B) An elevated white blood cell count (WBC). C) Reports of episodic abdominal pain and crying. D) A sweat chloride level of 35 mEq/L. Correct answer(s): A Diagnostic Test The pediatrician prescribes a sweat test to confirm Debbie's diagnosis of CF. 3. What information will the nurse include when teaching about the sweat test? A) Informed consent will be needed for this invasive, diagnostic test. B) It will take two hours to obtain the sweat. C) This procedure must be done twice a week for 3 weeks before confirming diagnosis. D) It is a simple, painless, reliable test that measures the chloride in sweat. Correct answer(s): D Therapeutic Communication David and Paula have been at Debbie's bedside since she was admitted to the hospital. David asks to speak to the nurse outside in the hall. He tells the nurse that Paula is telling everyone that Debbie

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