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A nurse is caring for an adolescent female with cystic fibrosis. The patient appears to be resting comfortably on supplemental oxygen with regular respirations. When planning care for this patient, what nursing diagnosis might the nurse determine to be most appropriate?

Explanation

•The patient with cystic fibrosis will have retained secretions resulting in ineffective airway clearance. This is the most appropriate and the priority nursing diagnosis.

Incorrect options:

•The patient is not demonstrating knowledge deficit.

•The scenario does not present a patient that is struggling with self-care.

•The patient is in no acute distress and does not appear in pain.

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