Pediatric ATI Practice Exam

For a child with cystic fibrosis, what is the priority goal in their care plan?

1. The child will participate in age-appropriate recreational activities.

2. The child will maintain an effective breathing pattern.

3. The child will maintain an adequate bowel elimination pattern.

4. The child will receive immunizations as recommended.

The correct answer is: The child will maintain an effective breathing pattern.

In managing a child with cystic fibrosis, the primary concern is often centered around respiratory function, given that the condition primarily affects the lungs and digestive system. Cystic fibrosis leads to the production of thick, sticky mucus that can obstruct airflow in the lungs, making it difficult for the child to breathe effectively and increasing the risk of severe respiratory infections. Maintaining an effective breathing pattern is crucial because compromised lung function can lead to significant complications, including chronic lung infections, respiratory failure, and reduced overall health. Thus, ensuring that the child can breathe normally and efficiently is a top priority in the care plan. This may involve regular respiratory therapies, such as chest physiotherapy to clear mucus, inhaled medications to open airways, and monitoring for signs of respiratory distress. While recreational activities, bowel elimination, and vaccination are also important aspects of holistic care and managing cystic fibrosis, they do not take precedence over the immediate need to maintain respiratory function. Addressing respiratory health directly impacts the child's quality of life and long-term prognosis, making it the most critical goal in the care plan.