A nurse is evaluating a 6-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatment.
The nurse should identify which of the following findings as an indication of the therapy has been effective?

Choice A rationale

Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.

Choice B rationale

Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.

Choice C rationale

Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.

Choice D rationale

Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.

Choice A rationale

Increased urine output is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.

Choice B rationale

Increased expectoration, or coughing up and spitting out mucus, is a sign that chest physiotherapy is effective. The goal of chest physiotherapy is to help clear the thick, sticky mucus from the lungs of children with cystic fibrosis.

Reduced pain is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.

Choice D rationale

An increased heart rate is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.