A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments.
The nurse should identify which of the following findings as an indication that the therapy has been effective?
Increased urine output.
Increased expectoration.
Reduced pain.
Increased heart rate.
Increased heart rate.
The Correct Answer is B
Chest physiotherapy treatments aim to improve ventilation and mucociliary clearance by removing tenacious and obstructing secretions in patients with cystic fibrosis.
Increased expectoration indicates that the therapy has been effective in clearing secretions.
Choice A is wrong because increased urine output is not an indication of the effectiveness of chest physiotherapy.
Choice C is wrong because reduced pain is not a specific indication of the effectiveness of chest physiotherapy.
Choice D is wrong because increased heart rate is not an indication of the effectiveness of chest physiotherapy.
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Correct Answer is B
Explanation
Maintaining a patent intravenous catheter is important for administering antibiotics and other medications to treat osteomyelitis.
Choice A is wrong because contact precautions are not necessary for a child with osteomyelitis.
Choice C is wrong because a high-calorie, low-protein diet is not indicated for a child with osteomyelitis.
Choice D is wrong because frequent physical activity may not be appropriate for a child with osteomyelitis due to pain and inflammation 1.
Correct Answer is D
Explanation
Wearing a wide-brimmed hat can help protect a child’s face, neck and ears from the harmful effects of the sun.
Choice A is wrong because while staying under a beach umbrella can provide some protection from the sun, it is not enough on its own.
Choice B is wrong because loose-weave clothing may not provide enough protection from the sun’s rays.
Choice C is wrong because a sunscreen with an SPF of at least 30 is recommended for adequate protection.
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