HESI Cystic fibrosis Case Study Darla Questions and
Answers Complete
1. Which statement by the mother supports the diagnosis of CF?
"When I kiss my daughter, her skin tastes like salt."
2. Which documentation further supports the diagnosis of CF?
-A history of frequent respiratory infections.
-Reports of foul-smelling stools that have white streaks and are sticky.
3. What information will the nurse include when teaching about the sweat test?
It is a simple, painless, reliable test that measures the chloride in sweat.
4. Donald and Pamela have been at Darla's bedside since she was admitted to the
hospital. Donald asks to speak to the nurse outside in the hall. He tells the nurse
that Pamela is telling everyone that Darla is going to be fine and that there has
just been a mistake and everything will be all right as long as they pray. What
action should the RN take first?
Make arrangements to meet with Pamela privately at the first opportunity.
5. What response reflects that the nurse values the principle of beneficence?
"Pamela, I know this has to be a very scary and difficult time for you. What can I do to
help you?"
6. Based on her previous conversation with Pamela, what is the best response by
the nurse?
"I will sit with Darla so you and your wife can talk. We have a quiet room you can use
that is private and close by."
7. Which nursing diagnosis has the highest priority?
Altered nutrition: less than body requirements related to poor intestinal absorption.
8. Which statement should the nurse record as the expected outcome for this
nursing diagnosis?
The child will be able to remove mucus from the airway by coughing.
9. Which is the best explanation for the nurse to provide to the student?
Standards of care are published statements that describe the level of care that the client
can expect from nurses.
10. Which statement by the nurse is correct?
"It is care such as the sweat test and DNA testing that Darla received."
11. Which statement by the parents indicates a correct understanding of a proper
nutritional protocol of a client with CF?
-Darla's diet should consume more calories than an unaffected child.
-Darla should take vitamin A, D, E, and K supplementation along with her diet.
-Her diet should consist of 3 meals/day of high fat, high protein, and 2 to 3 snacks/day.
12. Which instruction indicates to the nurse educator that the parents need more
instruction about the respiratory care of the child with CF complications?
Placing Darla in a prone position when she is having a dyspneic episode.
13. What actions should the nurse educator take to address this?
-Teach Darla to take a deep breath and then exhale while whispering the word "huff."
-Instruct the parents to perform chest physiotherapy (CPT) either 1 hour before meals or
Answers Complete
1. Which statement by the mother supports the diagnosis of CF?
"When I kiss my daughter, her skin tastes like salt."
2. Which documentation further supports the diagnosis of CF?
-A history of frequent respiratory infections.
-Reports of foul-smelling stools that have white streaks and are sticky.
3. What information will the nurse include when teaching about the sweat test?
It is a simple, painless, reliable test that measures the chloride in sweat.
4. Donald and Pamela have been at Darla's bedside since she was admitted to the
hospital. Donald asks to speak to the nurse outside in the hall. He tells the nurse
that Pamela is telling everyone that Darla is going to be fine and that there has
just been a mistake and everything will be all right as long as they pray. What
action should the RN take first?
Make arrangements to meet with Pamela privately at the first opportunity.
5. What response reflects that the nurse values the principle of beneficence?
"Pamela, I know this has to be a very scary and difficult time for you. What can I do to
help you?"
6. Based on her previous conversation with Pamela, what is the best response by
the nurse?
"I will sit with Darla so you and your wife can talk. We have a quiet room you can use
that is private and close by."
7. Which nursing diagnosis has the highest priority?
Altered nutrition: less than body requirements related to poor intestinal absorption.
8. Which statement should the nurse record as the expected outcome for this
nursing diagnosis?
The child will be able to remove mucus from the airway by coughing.
9. Which is the best explanation for the nurse to provide to the student?
Standards of care are published statements that describe the level of care that the client
can expect from nurses.
10. Which statement by the nurse is correct?
"It is care such as the sweat test and DNA testing that Darla received."
11. Which statement by the parents indicates a correct understanding of a proper
nutritional protocol of a client with CF?
-Darla's diet should consume more calories than an unaffected child.
-Darla should take vitamin A, D, E, and K supplementation along with her diet.
-Her diet should consist of 3 meals/day of high fat, high protein, and 2 to 3 snacks/day.
12. Which instruction indicates to the nurse educator that the parents need more
instruction about the respiratory care of the child with CF complications?
Placing Darla in a prone position when she is having a dyspneic episode.
13. What actions should the nurse educator take to address this?
-Teach Darla to take a deep breath and then exhale while whispering the word "huff."
-Instruct the parents to perform chest physiotherapy (CPT) either 1 hour before meals or
