A young adult is admitted with manifestations associated with cystic fibrosis. What should the nurse expect to find when collecting data from this patient? (Select 4 options that apply.)
Explanation & Rationale
A. Complaints of frequent foul-smelling stool: Clients with cystic fibrosis often have pancreatic enzyme deficiencies, leading to malabsorption and steatorrhea frequent, bulky, and foul-smelling stools that contain undigested fat. B. Finger clubbing: Clubbing is a result of chronic hypoxia and is a common finding in patients with long-standing pulmonary disease such as cystic fibrosis. It reflects poor oxygenation over time. C. "Salty" skin surfaces: One of the hallmark signs of cystic fibrosis is salty-tasting skin due to excessive chloride in sweat. It is often noted by parents and used in the diagnosis through sweat chloride testing. D. Extreme thirst: While dehydration can occur in CF, especially in hot weather, extreme thirst is not a common or defining symptom. It is more typically associated with conditions like diabetes mellitus or insipidus. E. Thick sputum production: CF leads to thick, sticky mucus production in the lungs and airways. This results in chronic cough, recurrent infections, and difficulty clearing secretions, all of which are prominent clinical features.