100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 201 ( LATEST 2024 / 2025 ) TEST 6 | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS $17.99   Add to cart

Exam (elaborations)

NUR 201 ( LATEST 2024 / 2025 ) TEST 6 | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS

 0 view  0 purchase
  • Course
  • NUR 201 T
  • Institution
  • NUR 201 T

NUR 201 ( LATEST 2024 / 2025 ) TEST 6 | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS

Preview 4 out of 31  pages

  • October 18, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 201 T
  • NUR 201 T
avatar-seller
gradexam
NUR 201 Test 6

1. cystic fibrosis (CF)
Answer
hereditary disorder of the exocrine glands characterized by excess mucus production in the
respiratory tract, pancreatic deficiency, and other symptoms

2. Pseudomonas
Answer
Common causes of pneumonia in CF

3. CF most at risk ethnicity is
Answer
caucasians

4. CFTR gene
Answer
a gene that codes for a protein involved in chloride and water transport across membranes. In
patients with cystic fibrosis, a mutation in this gene disrupts chloride and water transport across
membranes.


5. CFTR is an disorder

Answer
autosomal recessive

6. CF pathophysiology
Answer
The CFTR protein promotes chloride transport at the cellular level. Mutations disrupt these
functions to varying degrees.

Major result is the formation of thick sticky mucus in the epithelial cells of the lungs, pancreas,
liver, salivary glands, and testes, causing reduced organ function over time.

,7. Chloride (electrolyte)
Answer
Aids in maintaining a normal balance of bodily fluids

8. CF mucus secretions have too much and too little

Answer
salt, water


9. Pancrelipase (Creon)
Answer
*class*

pancreatic enzyme

*Indication*

pancreatic insufficiency, ductal obstruction

*Action*

replacement of pancreatic enzymes

lipase, amylase, protease

*Nursing Considerations*




- contraindicated with pig products allergy
- can cause shortness of breath, nausea, diarrhea, rash
- assess nutritional status
- monitor for steatorrhea

,- may increase uric acid levels
- instruct patient to follow diet
- take with meals and snacks

10. CF clinical manifestations
Answer
-chronic cough

-sinusitis (nasal polyps)
-meconium ileus (7-10% of newborns)
-pancreatic insufficiency
-rectal prolapse
-frequent respiratory infections
-persistent coughing
-audible wheezing
-dyspnea
-thick sputum
-very foul fatty stools


11. CF testing
Answer
-confirmatory test = sweat chloride test (>60mEq/L is positive for CF)

(gold standard)

12. CF Digestive system
Answer
mucus can block tubes or ducts in pancreas and prevent enzymes from reaching intestines.
infants do not pass meconium. gas, severe constipation, poor weight gain/growth, diarrhea

13. CF reproductive system
Answer
1. delayed puberty in females

2. fertility can be inhibited by highly viscous cervical secretions, which act as a plug and block

, sperm entry
3. males are usually sterile as a result of the blockage of the vas deferens by abnormal
secretions or the failure of the normal development of duct structures

14. CF Nutrition
Answer
-Use age appropriate BMI to assess ht + wt

-pancreatic enzymes w/ meals + snacks
-High pro, kcal, fat, salt
-15-20% pro
-CHO 45-55%
-35-40% fat
- Additional appropriate doses water sol vit/min
- Supp water sol forms fat sol (A,D, E, K)

15. CF medications
Answer
o Bronchodilators

o Antibiotics
o O2 only during acute episodes, maybe at night - because they live with a chronical- ly high CO2
- if they are over oxygenated will give them problems because repressing breathing

16. Kalydeco (ivacaftor)
Answer
first-in-class oral cystic fibrosis medication that treats the G551D-CFTR protein defect

17. Dornase alfa (Pulmozyme)
Answer
decreases viscosity of mucus and improves lung function.


18. chest percussion vest
Answer
rhythmic percussion of a patient's chest to loosen retained respiratory secretions.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller gradexam. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67163 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.99
  • (0)
  Add to cart