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?

Question

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?

Quizplus · Accepted Answer

B is the correct response because it explains how JV's thick mucous secretions are trapping and harboring bacteria, making it difficult for his cilia to clear his lungs. As a result, the bacteria breach his second and third lines of defense, leading to repeated infections. A is incorrect because JV's cilia are not permanently damaged. C is incorrect because although cystic fibrosis can affect immunity, it is not the root cause of JV's repeated infections. D is incorrect because everyone has second and third lines of defense, and this response is not accurate for JV's situation.

Please Read the Clinical Scenario, and Then Answer the Question