The pediatric nurse is caring for a 5-year-old client with cystic fibrosis. Which of the following assessment findings is most concerning?

1. Productive cough
2. Bulky, loose stool
3. Respiratory rate of 29
4. Temperature of 101°F (38.3°C)



Answer :

Final answer:

The most concerning assessment finding for a 5-year-old with cystic fibrosis is a high temperature of 101 F (38.3 C), indicating a potentially severe infection.


Explanation:

The most concerning assessment finding for a 5-year-old client with cystic fibrosis is a temperature of 101 F (38.3 C). In cystic fibrosis, fevers can indicate a worsening lung infection, which poses a severe risk for these patients due to their compromised respiratory system.

While a productive cough and bulky, loose stool are common symptoms in cystic fibrosis patients, a respiratory rate of 29 is also concerning but may be due to the underlying condition. However, a high temperature indicates a potentially severe infection that requires immediate attention.


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