A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?

Ask the Health Care Provider to order a sweat chloride test.

Coordinate with the dietitian to place the patient on a low-sodium diet.

Coordinate with respiratory therapy to perform chest physiotherapy

Coordinate with the case manager to arrange for a hospice nurse visit.

Answer and Explanation

The Correct Answer is C

Choice A reason: Sweat chloride tests diagnose CF, not manage dyspnea in a known patient. It’s irrelevant here, as the focus is treating acute respiratory symptoms, not reconfirming an established diagnosis in this scenario.

Choice B reason: Low-sodium diets aren’t indicated for CF; patients need high salt due to losses. Dyspnea stems from mucus obstruction, not fluid, so this intervention contradicts CF physiology and symptom management.

Choice C reason: Chest physiotherapy clears mucus in CF, improving airflow and reducing dyspnea. It targets the primary cause—thick secretions—enhancing lung function, a standard intervention coordinated with respiratory therapy for acute exacerbations.

Choice D reason: Hospice is premature for dyspnea in CF without end-stage decline. It’s inappropriate now, as active interventions like physiotherapy address reversible symptoms, prioritizing treatment over palliative care planning.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Bradypnea (slow breathing) isn’t typical in asthma exacerbation; tachypnea occurs due to airway obstruction. Reduced respiratory rate suggests fatigue or resolution, not active exacerbation, contradicting the physiology of acute bronchoconstriction.

Choice B reason: Wheezing results from turbulent airflow through narrowed bronchioles in asthma exacerbation. It’s a hallmark sign, reflecting reversible obstruction from inflammation and bronchospasm, consistently present during acute episodes requiring intervention.

Choice C reason: Bradycardia isn’t associated with asthma exacerbation; tachycardia is common from hypoxia and stress. Slow heart rate may indicate severe hypoxia late-stage, but it’s not a typical finding in active exacerbation.

Choice D reason: Accessory muscle use (e.g., sternocleidomastoid) compensates for obstructed airflow in asthma exacerbation. It reflects increased work of breathing due to bronchoconstriction, a frequent physical sign during acute respiratory distress.

Choice E reason: Decreased oxygen saturation occurs in asthma exacerbation from ventilation-perfusion mismatch. Inflamed airways limit oxygen delivery, dropping SpO2 below 95%, a common finding necessitating bronchodilators and oxygen therapy.

A. Staying indoors during cold and flu season B. Yearly flu vaccine C. Regular exercise and healthy nutrition D. Use a fan at night to circulate the air E. Staying away from crowds F. Handwashing G. Pneumonia Vaccine

Correct Answer is ["B","C","E","F","G"]

Explanation

Choice A reason: Staying indoors may limit exposure but isn’t practical or evidence-based for pneumonia prevention. It’s less effective than vaccines or hygiene, as pathogens persist indoors, reducing its priority in teaching.

Choice B reason: Yearly flu vaccine prevents influenza, a pneumonia risk factor, by inducing immunity. It’s a cornerstone of prevention, reducing respiratory infections that predispose to bacterial pneumonia, per public health guidelines.

Choice C reason: Regular exercise and nutrition boost immunity, reducing pneumonia risk. Strong lungs and host defenses limit infection severity, making this a key lifestyle topic for long-term respiratory health protection.

Choice D reason: Using a fan circulates air but doesn’t prevent pneumonia pathogens effectively. It may dry mucosa, increasing susceptibility, so it’s not a standard recommendation compared to vaccines or hygiene.

Choice E reason: Staying away from crowds reduces exposure to respiratory pathogens causing pneumonia. It’s practical during outbreaks, complementing vaccines and hygiene as a behavioral strategy to lower infection risk.

Choice F reason: Handwashing removes pathogens, preventing pneumonia transmission via contact. It’s a simple, evidence-based habit, critical in breaking infection chains, making it essential in patient education for prevention.

Choice G reason: Pneumonia vaccine (e.g., PCV13, PPSV23) protects against Streptococcus pneumoniae, a top cause. It’s a primary prevention tool, reducing incidence, strongly recommended for at-risk patients in teaching plans.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Sara has been admitted to the unit for asthma exacerbation. Which assessment findings are commonly associated with asthma exacerbation? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

When teaching the patient about preventing further episodes of pneumonia, the nurse should include which 5 topics?

Correct Answer is ["B","C","E","F","G"]

Explanation

The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action could the nurse delegate to the assistive personnel (AP)?

The nurse is reviewing the patient’s recent symptoms and lab results. Which of the following symptoms or findings suggest worsening heart failure? (Select all that apply)

A patient comes to the doctor’s office with the following complaints: Moderate to severe pain over the nose, eyes, and forehead, purulent nasal drainage, fever, and malaise. The nurse suspects the patient is suffering from ___________.

A nursing student is learning about the interprofessional management of a patient diagnosed with influenza. Which of the following actions should the nursing student include in their care plan when collaborating with the healthcare team? (Select all that apply)

The nurse is preparing to assess Maria’s respiratory system. Which assessment findings are likely to be associated with pneumonia?

Which instruction will the nurse plan to include in discharge teaching for a patient who was admitted with a sickle cell crisis?

Many hospitalized patients are at risk for developing VTE.

A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?