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NEW QUESTION: 1
A sweat test is performed on an infant with a suspected diagnosis of cystic fibrosis. The nurse reviews the
test results and determines that which of the following is a positive result for cystic fibrosis?
A. Chloride level of 70 mEq/L
B. Chloride level of 40 mEq/L
C. Chloride level of 30 mEq/L
D. Chloride level of 20 mEq/L
Answer: A
Explanation:
The nurse reviews the test results and determines that a positive result for cystic fibrosis is a
chloride level of 70 mEq/L. In a sweat test, sweating is stimulated on the child's forearm with pilocarpine,
the sample is collected on absorbent material, and the amounts of sodium and chloride are measured. A
sample of at least 50 mg of sweat is required for accurate results. A chloride level higher than 60 mEq/L is
considered to be a positive test result. A chloride level of 40 mEq/L suggests cystic fibrosis and requires a
repeat test. A chloride level of less than 40 mEq/L indicates no cystic fibrosis.
NEW QUESTION: 2
The nurse is caring for a client who has had a tracheostomy for 7 years. The client is started on a fullstrength tube feeding at 75 mL/hr. Prior to starting the tube feeding, the nurse confirms placement of the tube in the stomach. The hospital policy states that all tube feeding must be dyed blue. On suctioning, the nurse notices the sputum to be a blue color. This is indicative of which of the following?
A. This is a normal finding.
B. The feeding is infusing into the trachea.
C. The nurse has placed the suction catheter in the esophagus.
D. The client aspirated tube feeding.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Once the feeding tube placement is confirmed in the stomach, aspiration can occur if the client's stomach becomes too full. When suctioning the trachea, if secretions resemble tube feeding, the client has aspirated the feeding. (B) Because the trachea provides direct access to a client's airway, it would not be possible to place the catheter in the esophagus. (C) Blue-colored sputum is never considered a normal finding and should be reported and documented. (D) The nurse confirmed placement of the feeding tube in the stomach prior to initiating the tube feeding; therefore, it is highly unlikely that the feeding tube would be located in the trachea.
NEW QUESTION: 3
A. Option D
B. Option A
C. Option B
D. Option C
Answer: C,D
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