Question

A young adult with cystic fibrosis is admitted to the hospital for aggressive treatment. The nurse first:

a) Collects sputum for culture and sensitivity
b) Administers vancomycin intravenously
c) Provides nebulized tobramycin (TOBI)
d) Gives oral pancreatic enzymes with meals

Answer 1

The first step in the hospital management of a young adult with cystic fibrosis is likely to collect sputum for culture and sensitivity, allowing for the identification of the pathogens present and for targeted antibiotic treatment.

Step-by-step explanation:

The initial approach to a young adult with cystic fibrosis admitted to the hospital for aggressive treatment should prioritize addressing their most immediate and life-threatening issues, which usually involve the respiratory system. Given this priority, it is likely that the nurse's first step would be to collect sputum for culture and sensitivity. This action can identify the specific pathogens present in the lungs and determine the most effective antibiotics to use against them. Furthermore, patients with cystic fibrosis are at high risk for infection by Pseudomonas aeruginosa, which is known for its resistance to antibiotics and for causing chronic infections in these patients. By collecting sputum and analyzing for pathogens such as Pseudomonas aeruginosa and Burkholderia cepacia, targeted treatments can be initiated promptly.