"As a nurse, I can't diagnose what is causing you to have worsening symptoms. However, I will relay this information to your healthcare provider so they can determine what should happen next."

“If you are experiencing worsening respiratory distress, we must get you to the emergency department immediately.”

“It sounds like you may be concerned that your condition could be getting worse. That can be scary tell me more about what you have been experiencing."

"As you know, cystic fibrosis is a respiratory disease. Increased respiratory distress is a characteristic symptom of this disorder."