In a client with cystic fibrosis showing labored respirations and malnutrition, what is the top nursing priority?

In the context of a client with cystic fibrosis exhibiting labored respirations and malnutrition, initiating respiratory therapy and applying an oximeter emerges as the top nursing priority. Cystic fibrosis is characterized by thick mucus production, leading to chronic respiratory complications and difficulty in breathing. Therefore, addressing respiratory function is crucial.

By monitoring oxygen saturation levels with an oximeter, the nurse can assess the client’s respiratory status and determine if supplemental oxygen is needed to maintain adequate oxygenation. Furthermore, initiating respiratory therapy can help in airway clearance, improving ventilation and potentially easing labored breathing.

While addressing nutrition through a high-calorie diet and pancreatic enzyme supplementation, as noted in the other options, is critical for overall management and growth, immediate action to stabilize respiratory function takes precedence. This aligns with the priority nursing focus on ensuring the patient can breathe effectively to prevent further complications.