A 4-year-old child with a history of cystic fibrosis is hospitalized with an acute pulmonary exacerbation. His prescription includes chest physiotherapy four times a day, antibiotics via IV, and pancreatic enzymes. Which time is best for the nurse to plan for chest physiotherapy?
An hour before meals and at bedtime.
Every six hours around the clock.
Upon awakening and within an hour after meals.
Evenly spaced when the patient is awake.
The Correct Answer is A
An hour before meals and at bedtime.
Choice A rationale:
Scheduling chest physiotherapy an hour before meals and at bedtime is optimal. This timing helps prevent aspiration during meals and aids in clearing secretions before sleep. It complements the patient's meal schedule and sleep routine.
Choice B rationale:
Every six hours around the clock could disrupt the patient's sleep and meal times. Chest physiotherapy might not align well with the patient's daily activities, potentially affecting treatment compliance and effectiveness.
Choice C rationale:
Performing chest physiotherapy upon awakening and after meals might increase the risk of aspiration during meals. Clearing airways before meals is safer, and performing it right after meals could cause discomfort.
Choice D rationale:
Evenly spaced physiotherapy when awake lacks synchronization with meal and sleep times. This approach might not optimize treatment effects and patient convenience.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The child's preference for macaroni and cheese is unrelated to the diagnosis of bilateral otitis media. This choice does not provide insight into the child's ear condition.
Choice B rationale:
This statement is most likely related to the patient's diagnosis of bilateral otitis media. Falling asleep with a bottle of juice can lead to prolonged exposure of the teeth to sugar, increasing the risk of dental caries, which is commonly associated with ear infections.
Choice C rationale:
The child's behavior of pulling off his hat when outdoors does not offer information about the ear infection and its diagnosis.
Choice D rationale:
The child's refusal to wear shoes indoors is unrelated to the diagnosis of bilateral otitis media. It does not provide relevant information about the ear condition or its management.
Correct Answer is D
Explanation
Choice A rationale:
Performing passive range-of-motion exercises could worsen the bleeding in a patient with hemarthrosis due to hemophilia. Immobilization minimizes movement, reducing the risk of bleeding.
Choice B rationale:
While oxygen administration might be indicated in certain situations, it's not the primary intervention for hemarthrosis. The focus should be on preventing further bleeding and complications.
Choice C rationale:
Elevating the head of the bed is generally recommended for improving oxygenation, but it's not the primary concern in managing hemarthrosis.
Choice D rationale:
Immobilizing the affected joint is crucial to prevent movement that could exacerbate bleeding. This approach is aimed at minimizing damage and controlling bleeding in a patient with hemophilia.
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