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 A

Explanation

A. Allowing the child to make decisions about their care helps foster autonomy, which is important in the stage of development described by Erikson for children at this age.
B. While a structured routine is helpful, fostering a sense of independence and decision-making is key to promoting development at this stage.
C. Expressing feelings through creative activities is beneficial but does not address the developmental need for independence and autonomy.
D. Engaging with other children is important for social development, but allowing the child to have some control over their care is essential for psychosocial growth.

A. Soft non tender abdomen. B. Normal appearing perineum. C. Meconium leakage via the vagina or urethra. D. Poor sucking reflex.

Correct Answer is C

Explanation

A. A soft, non-tender abdomen would be normal and not suggestive of any specific pathology.
B. A normal appearing perineum would not be expected with an anorectal malformation, which typically presents with a visible defect in the perineum.
C. Meconium leakage via the vagina or urethra is a possible sign of an anorectal malformation. This could occur if there is a fistula connecting the gastrointestinal tract to the urinary or genital tract.
D. Poor sucking reflex is not directly associated with anorectal malformations but may occur in certain other conditions, such as central nervous system issues.

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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

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Correct Answer is A

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