What is the primary nursing activity to include in the care of a patient with cystic fibrosis experiencing shortness of breath?

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The primary nursing activity for a patient with cystic fibrosis who is experiencing shortness of breath is to perform postural drainage and chest physiotherapy every 4 hours. These techniques are essential in managing cystic fibrosis as they help to loosen and clear thick, sticky mucus from the lungs, thereby improving airway clearance and facilitating easier breathing.

Cystic fibrosis is characterized by the production of abnormal mucus that can obstruct airways and promote infections. Postural drainage involves positioning the patient in certain ways to allow gravity to assist in draining mucus from the lungs. Chest physiotherapy uses techniques like percussion and vibrations to further aid in mucus clearance. This regular intervention is crucial in preventing respiratory complications and promoting respiratory function, particularly during episodes of shortness of breath.

Other activities, while beneficial in their own regard, do not directly address the immediate need to alleviate respiratory distress. For instance, allowing the patient to decide on aerosolized medications is important for patient autonomy but does not provide the necessary immediate relief for shortness of breath. Similarly, placing the patient in a private room can reduce the risk of infection but does not actively improve airway clearance or relieve symptoms. Lastly, planning activities for uninterrupted sleep is generally beneficial for overall health but does not tackle the acute issue of short

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