An 8-Year-Old Child with Cystic Fibrosis Presents to the Clinic

An 8-year-old child with cystic fibrosis presents to the clinic with a 1-wk history of persistent cough, increased sputum production, increased work of breathing, and weight loss. What steps should be taken next?

A) He should be sent to the emergency room of a local hospital for critical care.
B) He should most likely be admitted to the hospital for treatment of a pulmonary exacerbation.
C) He should be sent home on extra multivitamins and be seen for his next routine clinic visit in 6 months.
D) He should be sent home, his pulmonary hygiene program should be stopped, and his parents/caregivers should be instructed to focus on his nutrition for a few weeks.