Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child?

Correct Answer: A

Rationale: Cystic fibrosis (CF) is a genetic disorder that primarily affects the lungs and digestive system. One of the key characteristics of CF is the production of abnormally thick and sticky mucus in the respiratory system. This thick mucus can obstruct the airways, leading to recurrent lung infections, difficulty breathing, and other respiratory complications. Therefore, Nurse Archie must keep in mind the need to address and manage the thick pulmonary secretions when developing a care plan for Betty, the 9-year-old girl with cystic fibrosis.

Correct Answer: A

Rationale: The early (anicteric) phase of hepatitis is characterized by nonspecific symptoms such as nausea, vomiting, and malaise.

Correct Answer: D

Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.

Correct Answer: D

Rationale: Tentorial herniation leads to compression of cranial nerve III, causing a fixed, dilated pupil on the affected side due to unopposed sympathetic activity.

Correct Answer: D

Rationale: Stage 1 hypertension in children is defined as an average systolic or diastolic blood pressure between the 95th and 99th percentile for age, sex, and height, which may require lifestyle modification or medical intervention.