A patient with a diagnosis of primary immunodeficiency informs the nurse that he has been experiencing a new onset of a dry cough and occasional shortness of breath
After determining that the patient's vital signs are within reference ranges, what action should the nurse take?
A) Administer a nebulized bronchodilator.
B) Perform oral suctioning.
C) Assess the patient for signs and symptoms of infection.
D) Teach the patient deep breathing and coughing exercises.
Ans: C
Feedback:
Dyspnea and cough are among the many signs and symptoms that may suggest infection in an immunocompromised patient. There is no indication for suctioning or the use of nebulizers. Deep breathing and coughing exercises do not address the patient's complaints or the likely etiology.
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