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CHA 1: Unit 6 Respiratory Exam Study Guide with Complete Solutions

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CHA 1: Unit 6 Respiratory Exam Study Guide with Complete Solutions cystic fibrosis (CF) - Answer️️ -Autosomal-recessive trait Hereditary disorder; altered functions of exocrine glands: Lung, Pancreas, Sweat Gland, Reproductive Organs Characterized by: lung congestion, infection, and malabs...

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  • August 29, 2024
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  • 2024/2025
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©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM


CHA 1: Unit 6 Respiratory Exam Study
Guide with Complete Solutions

cystic fibrosis (CF) - Answer✔️✔️-Autosomal-recessive trait



Hereditary disorder; altered functions of exocrine glands: Lung, Pancreas,
Sweat Gland, Reproductive Organs



Characterized by: lung congestion, infection, and malabsorbtion of
nutrients by the pancreas

symptoms of cystic fibrosis - Answer✔️✔️-Thick mucus

Chronic cough

Dyspnea

Freq respiratory infections

Clubbing of fingers

Increased AP diameter with hyper-resonant chest

Rales, rhonci

Failure to gain weight/malnutrition

Meconium ileus

Always hungry


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, ©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM

Abdominal distension

Steatorrhea

Fat soluble vitamin deficiencies (increased bruising)

Sweat, tears abnormally salty

Decreased or absent sperm count

Viscous cervical mucous

Cystic fibrosis pulmonary manifestations - Answer✔️✔️-Respiratory
infections

Chest congestion

Limited exercise tolerance

Cough and sputum production

Use of accessory muscles

Decreased pulmonary function

Changes in chest x-ray

Increased anteroposterior diameter

Cystic Fibrosis Diagnostic Test - Answer✔️✔️-sweat test-chloride test (excess
chloride release)



PFT-monitor current status




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, ©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM




CXR-monitor current status



DNA Testing

Cystic Fibrosis Treatment Goals - Answer✔️✔️-Client will absorb adequate
nutrients daily



Client will maintain patent airway



Family demonstrated adequate coping

Cystic Fibrosis Treatment - Answer✔️✔️-Postural drainage and percussion

Good hygiene

Moistened oxygen

Nebulized meds

Antibiotics (Tobramycin solution for inhalation)

Dornase alfa

Pancreatic enzyme

Diet: High calorie & protein, moderate fat

Water-miscible forms of Vit A, D, E supp



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, ©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM

Generally not breast fed, not enough protein

Pancreas-lung transplant

Tobramycin (TOBI) - Answer✔️✔️-used to treat chronic P. aeruginosa
infection in CF patients

Dornase alfa (Pulmozyme) - Answer✔️✔️-decreases viscosity of mucus and
improves lung function. improvement monitored by pfts. use once daily.

Pancreatic Enzyme Replacement - Answer✔️✔️-Pancreatic enzymes
(pancreatin and pancrelipase); action: aid in the digestion of starches, fats,
protein; side effects: anorexia, N/V, diarrhea, hypersensitivity, sneezing,
lacrimation, skin rashes; nursing responsibilities: do not use with antacids,
avoid inhaling powder, client education: take with meals

Cystic Fibrosis Family Teaching - Answer✔️✔️-Functions of oxygen and
how to regulate flow



Postural drainage



Encourage them to think about fitting the treatment/illness into family life
(DO both parents work)

Respiratory Distress Syndrome (RDS) - Answer✔️✔️-A respiratory disorder
that affects premature infants born without enough surfactant in the lungs.
It is treated with respiratory support and surfactant administration



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