A nurse is assisting in the care of a child in the pediatrician's office Drag words from the choices below to fill in each blank in the following sentence. The child is at risk for developing dropdownanddropdown.
Explanation & Rationale
Rationale for correct choices: • malabsorption: A positive sweat chloride test confirms cystic fibrosis, which leads to thick secretions obstructing pancreatic ducts. This reduces pancreatic enzyme delivery to the intestine, impairing fat and protein digestion and contributing to weight loss despite increased appetite. • chronic respiratory infections: Cystic fibrosis causes thick, sticky mucus in the airways that traps bacteria and interferes with normal mucociliary clearance. This environment promotes recurrent and chronic respiratory infections, explaining the persistent cough and wheezing noted on assessment. Rationale for incorrect choices: • bone marrow failure: Cystic fibrosis does not directly affect bone marrow function or blood cell production. Findings such as anemia, leukopenia, or thrombocytopenia would suggest an alternative hematologic disorder rather than this condition. • excessive weight gain: Children with cystic fibrosis typically experience poor weight gain or weight loss due to malabsorption and increased metabolic demands. Excessive weight gain would be inconsistent with the disease process and the child’s current presentation. • hypernatremia: Although cystic fibrosis involves increased sodium and chloride loss in sweat, this does not typically result in hypernatremia under normal conditions. Electrolyte imbalances are more commonly related to dehydration rather than sustained elevated serum sodium levels.