Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
School-age child with cystic fibrosis, vital signs: Temperature 37.2°C, Heart rate 98 beats/min, Respiratory rate 28 breaths/min, Blood pressure 120/80 mm Hg, Oxygen saturation 92% on room air, lab results: WBC count 10,000/mm3, HbA1c 6.5%, Sweat chloride test 80 mEq/L, Stool analysis positive for fat and elastase, provider prescriptions: Pancrelipase 8,000 units PO with each meal and snack, Chest physiotherapy three times daily, Albuterol inhaler as needed, Azithromycin 250 mg PO once dailyA nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?
Correct answer
D
Rationale
The correct answer is D: Oxygen saturation. In cystic fibrosis, lung function is compromised, leading to decreased oxygen saturation levels. Reporting this finding to the provider is crucial for early intervention. Heart rate (A), WBC count (B), and HbA1c (C) are not typically associated with cystic fibrosis and would not require immediate reporting. Oxygen saturation directly reflects the child's respiratory status and is a key parameter to monitor in cystic fibrosis patients.