Froggy Jumps
Cystic Fibrosis and Tuberculosis
1
A patient with a history of heart failure and an Ejection Fraction of 25% presents with sudden onset of confusion, a respiratory rate of 28, and pink frothy sputum. What is the nurse's immediate priority?
2
A nurse is caring for a patient on airborne precautions for suspected TB. The QuantiFERON-TB Gold test is positive, but the chest X-ray is clear. Which is the most appropriate interpretation?
3
During an assessment of a patient with Cystic Fibrosis, the nurse notes a sudden drop in SpO2, tracheal deviation to the right, and absent breath sounds on the left. What is the likely complication?
4
. A patient with TB is prescribed Ethambutol. Which specific assessment is mandatory for this medication?
5
A child with CF presents with a protuberant abdomen, thin extremities, and foul-smelling, bulky stools. Which lab value would the nurse prioritize for review?
6
A patient on Isoniazid (INH) therapy for TB complains of "pins and needles" in their hands and feet. Which medication does the nurse expect the provider to order?
7
Which diagnostic result is the only definitive way to rule out active pulmonary TB in a symptomatic patient?
8
Which electrolyte imbalance is a high-priority risk for a CF patient during a heatwave?
9
A nurse is designing a meal plan for a CF patient. Which menu is best?
10
If a CF enzyme capsule is too big for a child to swallow, what can the nurse do?
11
A patient is "acidic" when their pH is:
12
A patient with TB has a low-grade fever. When does this fever usually peak?
13
A patient with poor perfusion has "cool extremities." This is a failure of:
14
A patient has a "latent" TB infection. Can they spread it to others?
15
Which vitamin is "fat-soluble" and must be supplemented in CF?
16
Multidrug-resistant TB (MDR-TB) is resistant to which two drugs?
17
Which patient should be in a Negative Pressure room?
18
A CF patient has foul-smelling, greasy, floating stools. This is called:
19
What is the "Gold Standard" test to confirm an active TB diagnosis?
20
A patient with TB is being discharged. What is the priority teaching?
21
A child with CF is prescribed pancreatic enzymes. When should the nurse administer these medications?
22
A patient on INH therapy reports that their skin looks yellow. What should the nurse do?
23
A patient had the BCG vaccine in the past. Which TB test will be the most accurate?
24
What is the "Gold Standard" test for diagnosing Cystic Fibrosis in children?
25
A nurse sees a TB patient wearing a surgical mask in the hallway. Is this correct?
26
A patient with TB has an AST of 150 units/L (Normal 10-40). What is the nurse's next action?
27
A CF patient is diagnosed with "CFRD." How does this type of diabetes differ from Type 1?
28
A patient is taking Trikafta (CFTR Modulator). What should the nurse monitor most closely?
29
A patient with TB is also HIV positive. Why is this combination a high-priority concern?
30
A nurse is collecting a sweat chloride test. What result is diagnostic for CF?
31
A patient has a "Shift to the Left" on their CBC. What does the nurse expect?
32
A patient with TB has pleuritic chest pain. What does this feel like?
33
A patient with TB has been on meds for 3 weeks and has 3 negative cultures. Can they go to school?
34
A nurse is choosing a snack for a child with CF. Which is the best option?
35
Which diagnostic test measures the amount of "air trapping" in the lungs?
36
A patient has a pH of 7.50. How does the nurse describe this?
37
A patient in the TB clinic reports a "pins and needles" sensation in their feet. Which drug is the likely cause?
38
A patient on Ethambutol therapy reports difficulty distinguishing red from green. What is the nurse's priority?
39
Which symptom is a classic "signature" of TB usually occurring late in the day?
40
A patient with CF is admitted with a "Distal Intestinal Obstruction Syndrome" (DIOS). Which assessment finding does the nurse expect?
41
Why do CF patients often develop "Cystic Fibrosis Related Diabetes" (CFRD)?
42
A patient with TB has blood-tinged sputum. What is the medical term for this finding?
43
A patient is on "DOT" for TB. How is this therapy implemented?
44
A CF patient's parent asks about "autosomal recessive." This means:
45
A nurse is teaching about "extrapulmonary" TB. This means TB is in the:
46
Which O2 device provides the most precise oxygen concentration?
47
A nurse is reviewing the chart of a patient on the "RIPE" regimen. The patient's uric acid level is 11 mg/dL (Normal <7). Which medication is likely responsible?
48
A patient has a PPD of 15mm induration. What does this result mean?
49
Which medication is often given to a CF patient before CPT?
50
What is the "Apex" of the lung?
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