A nurse is planning care for an adolescent who has sickle cell anemia.
Which of the following immunizations should the nurse include in the plan?

Choice A rationale:

Increased heart rate is not a direct indication of the effectiveness of chest physiotherapy treatments in a child with cystic fibrosis. The primary goal of chest physiotherapy is to clear mucus from the airways and improve breathing.

Choice B rationale:

Increased urine output is not directly related to the effectiveness of chest physiotherapy treatments. The focus of chest physiotherapy is on respiratory function and mucus clearance.

Choice C rationale:

Increased expectoration (coughing up mucus) is a positive sign that chest physiotherapy treatments have been effective. Improved clearance of mucus from the airways helps in breathing and reduces the risk of respiratory infections. It indicates that the treatments are helping the child clear the mucus, which is a common problem in cystic fibrosis.

Choice D rationale:

Reduced pain is not the primary goal of chest physiotherapy treatments for cystic fibrosis. While it's essential for the child to be comfortable, the main focus is on improving respiratory function and clearing mucus from the airways.

Choice A rationale:

Check the toddler's ID band against the medical record. Verifying the toddler's identity through their ID band is a standard and reliable practice in healthcare settings. It ensures that the right medication is administered to the right patient, promoting patient safety and preventing medication errors. Checking the ID band against the medical record is a fundamental step in the medication administration process.

Choice B rationale:

Ask another nurse to confirm the toddler's identity. While collaboration and double-checking are important in healthcare settings, the primary responsibility lies with the nurse administering the medication. Relying solely on another nurse to confirm the toddler's identity could lead to errors. Nurses should follow established protocols, including checking the ID band, to maintain patient safety.

Choice C rationale:

Check the toddler's room number against their ID band. Verifying the room number is not a reliable method of confirming a patient's identity. Room assignments can change, and patients can be moved to different locations within the healthcare facility. Relying on room numbers can lead to confusion and errors in identifying patients.

Choice D rationale:

Ask the parent to confirm the toddler's identity. While involving parents in the care process is important, the primary responsibility for confirming a patient's identity lies with the healthcare provider. Parents can assist by providing information, but the final verification should be done through established healthcare protocols, such as checking the ID band against the medical record.