Case Study J.R. is a 13-year-old boy diagnosed with cystic

Case Study J.R. is a 13-year-old boy diagnosed with cystic fibrosis… Case StudyJ.R. is a 13-year-old boy diagnosed with cystic fibrosis (CF) who is being seen in the outpatient clinic for biannual evaluation. He lives in the house with his parents and has a sister C.R. 7-year-old who also has cystic fibrosis. J.R. reports that he has not felt well, that he has no energy, is coughing more and has difficulty breathing. He explains that he has been absent from school for a week.Questions:1. Discuss what additional data nursing should obtain from J.R. and of their parents.2. Briefly describe the condition, physiological effect on the following systems:- respiratory- gastrointestinal- player- skin- electrolyte balance3. Identify the factors that put J. R. at risk for developing respiratory infections.4. Discuss the ethical and social principles that may be affected by the patient’s chronic condition as they progress through the various stages of growth and development.Case Study Progress:J.R. is later admitted to the hospital for suspected respiratory infection and exacerbation of CF.His estimate includes vital signs: BP 115/76, P 85, R 28 and Temp. 101.8oF (38.8oC). Sat. O2: 88% in ambient air. Weight: 30 KG, Color: pale and dry skin with cyanotic nails and drum fingers. Capillary refill of 3 seconds. Labored breathing, productive cough, snoring, pain scale 3-4 (scale 10) when coughing. Barrel-shaped chest, looks thin with decreased muscle mass. Urinary and fecal elimination in the morning without problem. Anxious patient and answers questions in short sentences. 5. Indicate with an X which System is affected and why. Provide a short nursing note in narrative format (DAR format).? Neurological:? Respiratory:? Cardiovascular:? Gastrointestinal:? Genitourinary:? Musculoskeletal:? Skin:? Psychosocial:? Pain:Nursing narrative note: 6. What is the most common microorganism that causes respiratory infection in children with CF and why?Medical orders:- Ceftazidine (Fortaz) 2G IV q 8h- Gentamicin (Gentak) 100 mg IV q 8h- Vancomycin (Vancocin) 450 mg IV q 8h 7. Are the previous prescribed doses in safe ranges? Comment on each medication, the doses and justify with information from a nursing medication reference book.8. After treatment, the child improves and is discharged. Discuss the health promotion aspects to prevent exacerbation of the condition that should be emphasized with J.R.’s parents. Please explain in detail, no short answers. Thank youHealth Science Science Nursing NURSING N2056

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