Question

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?

a) I think my child needs more exercise.
b) I'm not sure if the treatments are really necessary.
c) I've heard about a new medication for cystic fibrosis.
d) I'm concerned about my child's persistent cough and difficulty breathing.

Answer 1

The nurse should request a high-frequency chest compression vest when the parent expresses concern about the child's persistent cough and difficulty breathing, as this symptom is directly related to the mucus complications caused by cystic fibrosis.

Step-by-step explanation:

The nurse should initiate a request for a high-frequency chest compression vest for a school-age child who has cystic fibrosis in response to the parent statement, “I'm concerned about my child's persistent cough and difficulty breathing.” This statement directly relates to the respiratory challenges that are typical for patients with cystic fibrosis due to thick mucus accumulation in the lungs. This treatment modality can help in clearing the viscous mucus secretions, thereby improving breathing and reducing the risk of respiratory infections.

Cystic fibrosis is a genetic disease causing the production of thick and sticky mucus that can block the airways leading to recurrent respiratory infections and other complications. Daily care includes techniques to clear this mucus, and a high-frequency chest compression vest can be beneficial to mechanically assist in this process. While there is no cure, interventions like pulmonary rehabilitation and proactive use of antibiotics can help manage symptoms and improve quality of life for those with cystic fibrosis.