Lower Respiratory Obstructive Problems: Asthma vs CF

Multiple Choice

Which of the following is a key clinical manifestation that helps differentiate asthma from cystic fibrosis?

• Reversible airway obstruction

• Chronic productive cough

• Frequent lung infections

• Pancreatic enzyme insufficiency

Multiple Choice

Which of the following is a common trigger for asthma?

• Allergens (pollen, dust, pet dander)

• High humidity

• Excessive sleep

• Lack of exercise

Multiple Choice

Which of the following assessment findings in a patient with asthma indicates an emergency situation?

• Wheezing

• Cough

• Silent chest

• Restlessness

Multiple Select

Select all findings that suggest worsening asthma status.

• Wheezing after inhaler use

• Increased rescue inhaler use

• Silent chest on auscultation

• Productive cough

Multiple Choice

Which protein is defective in cystic fibrosis, leading to disrupted chloride transport across cell membranes?

• Albumin

• CFTR protein

• Hemoglobin

• Insulin

Open Ended

List two major clinical manifestations of cystic fibrosis affecting the respiratory and gastrointestinal systems.

Multiple Select

Which of the following are components of comprehensive management for cystic fibrosis?

• Bronchodilators

• Pancreatic enzymes

• Inhaled antibiotics

• Antihistamines

Multiple Choice

A 12-year-old with cystic fibrosis reports greasy, foul-smelling stools and continues to lose weight despite eating well. What is the most appropriate nursing action?

• Restrict dietary fat intake

• Increase fluid intake before meals

• Administer pancreatic enzymes with meals and snacks

• Encourage low-calorie snacks between meals

Multiple Choice

Which patient requires immediate intervention: the asthma patient with silent chest or the CF patient with increased sputum production?

• Asthma patient with silent chest

• CF patient with increased sputum production

• Both require immediate intervention

• Neither requires immediate intervention

Multiple Choice

Which of the following is a primary nursing priority when managing patients with obstructive respiratory disorders such as asthma and cystic fibrosis?

• Ensuring effective airway clearance

• Administering antibiotics for all patients

• Encouraging bed rest only

• Focusing solely on nutritional support

Multiple Select

Select all the characteristics associated with CF.

• Sickled red blood cells

• Sticky mucus buildup on the lungs

• Salty skin

• Tremors

Multiple Choice

Which body system(s) may be affected by cystic fibrosis?

• the respiratory system

• the digestive system

• the reproductive system

• all of these

Multiple Choice

Treatment options for cystic fibrosis include:

• Aerosolized medication protocol

• Bronchopulmonary hygiene therapy protocol

• Oxygen therapy protocol

• All of the above

Multiple Choice

​Normally the respiratory drive is triggered by changing levels​ of:

• pH

• glucose

• oxygen

• carbon dioxide

Multiple Choice

How should pancreatic enzymes (amylase, protease, lipase) be administered?

• On an empty stomach

• With a meal

Multiple Choice

T/F: Patients with Cystic Fibrosis require higher caloric intake to prevent malnutrition.

• True

• False

Multiple Select

Cystic Fibrosis leads to Multiple Organ Involvement. The integumentary presentation will show

• Salty skin

• Dehydration

Multiple Choice

Ivacaftor (Kalydeco) is a CFTR potentiator should be taken

• on an empty stomach

• with fat-containing food

Multiple Choice

Mucolytic agents include all of the following inhaled agents EXCEPT

• Dornase alpha

• Hypertonic saline

• N- acetylcystine

• Fluticasone

Multiple Select

Which of the following are ways to combat excess mucus production -and accumulation -in CF ?

• PEP or Flutter therapy

• Chest physical therapy

• Postural drainage

• Mucolytic therapy

• Oxygen therapy

Multiple Choice

What is one of the ways asthma can be diagnosed?

• Pulmonary Function Tests

• Stress test

• MRI

• CT

Multiple Select

It is important for patients to rinse their mouth after using this medication.

• Corticosteroids

• b2-adrenergic agonists

• Anticholinergics

• Leukotriene modifiers

Multiple Select

This medication may cause dry mouth

• Corticosteroids

• b2-adrenergic agonists

• Anticholinergics

• Leukotriene modifiers

Multiple Choice

Which activity will MOST LIKELY induce an asthma attack?

• Reading a book in a comfortable environment.

• Drawing a picture of your favorite animal in art class.

• Playing an intense game of dodgeball in gym class.

• Eating lunch in the cafeteria with friends.

Multiple Choice

What is the purpose of mucolytics in respiratory therapy?

• To reduce airflow in the respiratory system

• To promote the growth of bacteria in the lungs

• To help break down and thin mucus in the airways

• To increase mucus production in the airways

Multiple Choice

How do leukotriene modifiers help in managing asthma symptoms?

• They reduce inflammation and constriction of the airways.

• They have no effect on airway inflammation and constriction.

• They increase inflammation and constriction of the airways.

• They only work on reducing coughing and not other symptoms.

Multiple Choice

What are the benefits of using inhaled corticosteroids over oral corticosteroids?

• Fewer systemic side effects

• Higher cost

• Less effective in treating respiratory conditions

• Increased risk of infection

Multiple Choice

Name one inhaled corticosteroid commonly prescribed for asthma management.

• Albuterol

• Fluticasone

• Ibuprofen

• Prednisone

Multiple Choice

What role do beta-agonists play in the treatment of asthma?

• To decrease the immune response in the airways

• To increase mucus production in the airways

• To relax the muscles around the airways

• To increase the sensitivity of the airways to allergens

Multiple Choice

Which class of medication is commonly used as a first-line treatment for seasonal allergic rhinitis?

• Anticholinergics

• Antihistamines

• Corticosteroids

• Decongestants

Multiple Choice

What is the primary benefit of using a spacer with an inhaler for asthma management?

• It allows for a higher dose of medication to be delivered.

• It reduces the risk of oral thrush by decreasing medication deposition in the mouth.

• It increases the speed of medication delivery.

• It eliminates the need for regular inhaler maintenance.

Open Ended

Reflecting on today's session, what is one key difference between asthma and cystic fibrosis that you learned?