A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Perform vibration during the client's inspirations.

Percuss each lung segment for 15 min.

Administer albuterol prior to CPT.

Perform CPT immediately after the child eats.

Answer and Explanation

The Correct Answer is C

A.   Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B.   Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C.   Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D.   It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.

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Correct Answer is B

Explanation

A. Speech and communication abilities are important, but physical safety must come first to prevent accidents or injuries.
B. Safety measures are the highest priority, as children with cognitive impairments may have physical or developmental limitations that increase the risk of falls, accidents, or other harm.
C. Cognitive development and educational needs are important but should be addressed after ensuring
the child’s physical safety.

D. Social and emotional well-being are essential aspects of care, but the immediate focus should be on preventing harm.

A. Encouraging the infant to engage in vigorous physical activity B. Administering antibiotics to treat the viral infection C. Isolating the infant to prevent the spread of infection to other infants D. Administering bronchodilators to improve respiratory function E. Providing frequent small, age-appropriate feedings to prevent dehydration F. Administering oxygen to maintain adequate oxygen saturation levels

Correct Answer is ["C","D","E","F"]

Explanation

A. Encouraging vigorous physical activity is not appropriate for an infant with RSV, as it can worsen respiratory distress.
B. Antibiotics are not effective against RSV because it is a viral infection. Antibiotics should only be used for secondary bacterial infections.
C. Isolation is crucial to prevent the spread of RSV to other infants, especially in healthcare settings.
D. Bronchodilators may be used to help open the airways and ease breathing in some cases of RSV.
E. Small, frequent feedings are important to prevent dehydration, as infants with RSV may struggle with feeding due to difficulty breathing.
F. Oxygen therapy is often required to maintain adequate oxygen levels in infants with RSV, particularly if they are experiencing respiratory distress.

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A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?

Correct Answer is B

Explanation

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Correct Answer is ["C","D","E","F"]

Explanation

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