The nursing instructor is discussing cystic fibrosis (CF) with ...

[frankwu]

The nursing instructor is discussing cystic fibrosis (CF) with his clinical group. What would the instructor cite as the hallmark pathology of CF?
 
  A) Alveolar mucous plugging, infection, and eventual bronchiectasis
  B) Bronchial mucous plugging, inflammation, and tissue damage
  C) Atelectasis, infection, and eventual chronic obstructive pulmonary disease (COPD)
  D) Bronchial mucous plugging, infection, and eventual chronic obstructive pulmonary disease (COPD)

Question 2

What measure protects the nurse when preparing cytotoxic drugs?
 
  A) Wearing protective equipment such as gloves, mask, and gown
  B) Washing hands before preparation
  C) Mixing medication in a 1-L bag
  D) Administering medication IM

[sierrahalpin]

Answer to Question 1

B
Feedback:
CF results in the accumulation of copious amounts of very thick secretions in the lungs. Eventually, the secretions obstruct the airways, leading to destruction of the lung tissue. Mucous plugs occur in CF, but it is at the bronchial level, not the alveolar level. COPD is not an eventual outcome in this disease.

Answer to Question 2

A
Feedback:
Cytotoxic drugs are toxic chemicals and the nurse who administers them must take adequate precautions to avoid self-exposure. These precautions include protective equipment. Hand hygiene should be performed before administering any medication but this measure does not protect the nurse. Whether mixing the medication in a 1-L bag or administering it IM, the nurse must wear protective equipment.

[frankwu]

Thank you!

[sierrahalpin]

Always glad to help...