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 is very intelligent and realizes that he needs to be more diligent with his mucus clearing exercises.He asks you if it is okay if he only does his exercises when he is not feeling well,even though the doctor tells him he must do them every day.What is a correct 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 is very intelligent and realizes that he needs to be more diligent with his mucus clearing exercises.He asks you if it is okay if he only does his exercises when he is not feeling well,even though the doctor tells him he must do them every day.What is a correct response?

Quizplus · Accepted Answer

It is important for JV to understand that his damaged immunity due to cystic fibrosis does not allow his body to protect itself. Therefore, he must do his exercises regularly to avoid exacerbations of his condition. Option A is incorrect because it is not okay for JV to skip his therapies, even if he is feeling well. Option C is incorrect because it is not a suitable solution to only do the exercises twice as much when he is feeling sick. Option D is incorrect because the doctor's orders should not be disregarded or altered without consultation.

Please Read the Clinical Scenario, and Then Answer the Question