Parents of a 3-year-old call the clinic and ask for information ...

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Parents of a 3-year-old call the clinic and ask for information on sinusitis. Which symptoms will the nurse include in the explanation to the parents? (Select all that apply.)
 
  A.
  Cold lasting more than 5 days
  B.
  Cough worse when lying down
  C.
  Periorbital swelling
  D.
  Postnasal drip
  E.
  Thin, clear nasal discharge.

Question 2

The pediatric nurse is providing care to a neonate diagnosed with cystic fibrosis. When discussing the clinical manifestations of this disease process, which topics will the nurse include in the teaching session? (Select all that apply.)
 
  A.
  Anemia
  B.
  Malnutrition
  C.
  Scant, hard stools
  D.
  Meconium ileus
  E.
  Rectal prolapse

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Answer to Question 1

ANS: B, C, D
The signs and symptoms of sinusitis include a cold lasting more than 10-14 days, sometimes with low-grade fever, thick yellow-green nasal discharge, and postnasal drip leading to sore throat; cough (worse at night or when lying down); bad breath; nausea and vomiting; headaches; irritability and fatigue; and swelling around eyes.

Answer to Question 2

ANS: A, B, D, E
The initial presentation of cystic fibrosis in the neonate appears in the gastrointestinal system. The newborn may have a meconium ileus, with meconium so thick that it causes obstruction and requires surgical removal. The infant may initially have bulky stools that are frothy and foul-smelling. Prolapse of the rectum may also occur in infancy and childhood. Malnutrition, anemia, and growth failure persists despite normal caloric intake.