nursing

ASSESSMENT OF CYSTIC FIBROSIS
Student’s name
Institutional affiliation
Date
The doctor should assess the nose for Rhinitis and Nasal polyps. The pulmonary system should be checked. Acute crackles upon percussion are indication of cystic fibrosis. The doctor should look for Wheeze or crackles. The presence of Respiratory distress which is accompanied with the retraction is a good indication of cystic fibrosis. The anteroposterior diameter of chest in patients with cystic fibrosis is increased. The doctor should also look for Clubbing and Cyanosis in the pulmonary system. The GI assessment is done with the need to check for abdominal distention. The doctor should check if the skin is dry. Patients with cystic fibrosis have a swelling of the parotid gland. The palms wrinkles (Sly et al 2013).
Importance of Respiratory/Cough Etiquette
Joey and his family should be enlightened on respiratory etiquette. The patient with cold or flu infection releases respiratory droplets when he or she coughs. The droplets can cause infection when they come in contact to the noses of the individuals next to the patients. The droplets enter into the respiratory tract of the individuals. Notably, the droplets may land on the body surfaces and survive for many hours (Sly et al 2013). The person can transfer the viruses from the surfaces through touch. Brian should use disposable tissue when coughing. The patient should be separated for about 3 feet. Curtains should be used in bed to reduce the disposal of droplets.

The hands should be maintained clean. The family should be advised to wash the hands after sneezing or coughing. Hard surfaces such as desks should be cleaned with disinfectant, as the disinfectant removes flu germs from the desks. The family members should avoid touching their faces after wiping the nose of the patients. The respiratory etiquette will ensure that the family members are prevented from infection (Ramsey 2014).
References
Sly, P. D., Gangell, C. L., Chen, L., Ware, R. S., Ranganathan, S., Mott, L. S., … & Stick, S. M. (2013). Risk factors for bronchiectasis in children with cystic fibrosis. New England Journal of Medicine, 368(21), 1963-1970.
Ramsey, K. A., Ranganathan, S., Park, J., Skoric, B., Adams, A. M., Simpson, S. J., … & Stick, S. M. (2014). Early respiratory infection is associated with reduced spirometry in children with cystic fibrosis. American journal of respiratory and critical care medicine, 190(10), 1111-1116.