Question

A home health nurse is managing care for an adolescent client with cystic fibrosis. Which of the following potential complications should the nurse consider when developing a nursing care plan? Select all that apply.

1. Chronic hypoxemia
2. Diabetes insipidus
3. Frequent respiratory infections
4. Obesity
5. Vitamin deficiencies

Answer 1

When managing care for an adolescent with cystic fibrosis, a home health nurse should consider chronic hypoxemia, frequent respiratory infections, and vitamin deficiencies as potential complications. Diabetes insipidus and obesity are not typically associated with cystic fibrosis.

Step-by-step explanation:

When developing a nursing care plan for an adolescent client with cystic fibrosis, a home health nurse should consider several potential complications due to the nature of the disease. Cystic fibrosis is known for its significant impact on the lungs and other organs, causing a wide range of health issues. The complications to be included in the care plan are:

• Chronic hypoxemia: Due to the thick and sticky mucus associated with cystic fibrosis, gas exchange in the lungs can be severely impaired, leading to a chronic lack of oxygen in the blood.
• Frequent respiratory infections: The accumulation of mucus in the lungs creates an environment conducive to the growth of bacteria, resulting in an increased risk of lung infections.
• Vitamin deficiencies: Cystic fibrosis can also affect the pancreas and its ability to secrete enzymes needed for the digestion and absorption of nutrients, leading to deficiencies in fat-soluble vitamins (A, D, E, and K).

Diabetes insipidus and obesity are not directly related to cystic fibrosis and therefore would not be typical concerns in the care plan for a patient with this condition.