A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis.

Which of the following actions should the nurse take?

Cover the area of percussion with a towel.

Schedule postural drainage after meals.

Instruct the client to exhale quickly during vibration.

Perform percussion over the lower back.

Answer and Explanation

The Correct Answer is A

This is because chest percussion uses clapping of the chest using a cupped hand to vibrate the airways of the lungs and move and break apart the mucus inside the lungs.
Covering the area of percussion with a towel can help to reduce discomfort during the procedure.
Choice B is wrong because postural drainage should not be scheduled after meals.
It is best to schedule postural drainage before meals or at least 1-2 hours after meals to prevent discomfort or vomiting.

Choice C is wrong because, during vibration, the client should inhale deeply and exhale slowly.
Choice D is wrong because percussion should not be performed over the lower back.
It should be performed over the chest and back, avoiding areas such as the spine and breastbone.

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Correct Answer is C

Explanation

“I should limit the time that I spend sitting in a chair.” This is important because sitting for long periods of time can increase the risk of thrombus formation.
Choice A is wrong because crossing the legs while sitting can impede blood flow and increase the risk of thrombus formation.
Choice B is wrong because leg exercises should be performed more frequently than once every 4 hours while awake.
Choice D is wrong because massaging the legs when they hurt can dislodge a thrombus and cause it to travel to other parts of the body.

A. "You are required to sign advance directives prior to having surgery." B. "Your provider must sign the advance directives before surgery." C. "You will receive written information about advance directives prior to signing." D. "Your partner must be present when you sign the advance directives."

Correct Answer is C

Explanation

This statement indicates that the client will be provided with information about advance directives before making a decision.
Advance directives are legal documents that allow individuals to communicate their wishes for medical treatment in the event that they are unable to make decisions for themselves.
Choice A is wrong because signing advance directives is not a requirement for undergoing surgery.
Choice B is wrong because the provider does not need to sign the advance directives.
Choice D is wrong because the presence of a partner is not required when signing advance directives.

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A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis.

Which of the following actions should the nurse take?