Please Read the Clinical Scenario, and Then Answer the Question

question 42

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
JV is a 16-year-old male with cystic fibrosis. He has been admitted several times to your pulmonary inpatient unit with multiple microorganism infections, including Pseudomonas and H. influenza. Because of the thickness of his mucous secretions, his cilia become immobile and unable to clear his lungs of bacteria harboring mucus. He is supposed to perform vigorous airway mucous clearance at home with a vibrating vest and IPV (intrapulmonary percussive ventilation) device. However, he says that it takes hours and he does not always feel sick. Therefore, he often refuses to do his therapies at home.
-JV asks you,as his bedside nurse,to explain to him why he keeps getting sick from the same bacteria.What is an appropriate response?

• A)"Your lungs produce these organisms because your cilia are permanently damaged."
• B)"Your mucus traps and harbors the microorganisms,and when they can't get cleared,they begin to breach your second and third lines of defense."
• C)"Your disease stunts your immunity,so you can't actually fight those bacteria."
• D)"You don't have second and third line defenses."

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Definitions:

Positive Attitude

A mental state that involves looking at situations from a constructive and optimistic perspective, focusing on opportunities and solutions rather than problems.

RN Managing Care

Refers to the responsibilities of Registered Nurses in overseeing patient care, including assessment, planning, implementation, and evaluation of treatment plans.

AIDET

An acronym for Acknowledge, Introduce, Duration, Explanation, and Thank you; a communication framework used by healthcare providers to enhance patient interactions.

RN Managing Care

A registered nurse's responsibility to oversee and coordinate all aspects of patient care in a healthcare setting.