A nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy?

Immediately before

2 hr before

2 hr after

Immediately after

Answer and Explanation

The Correct Answer is A

A. Administering bronchodilator therapy immediately before chest physiotherapy helps open the airways, making the therapy more effective.
B. Administering the bronchodilator 2 hours before is too early to have the desired effect during physiotherapy.
C. Administering the bronchodilator 2 hours after does not support the immediate effectiveness of chest physiotherapy.
D. Administering the bronchodilator immediately after chest physiotherapy does not provide the benefit needed during the procedure.

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Correct Answer is []

Explanation

Condition:

Pyelonephritis: The presence of fever, frequent and painful urination, and costovertebral angle tenderness, along with the urinalysis findings (cloudy urine, leukocyte esterase, nitrites, WBCs) and elevated WBC count suggest an upper urinary tract infection, likely pyelonephritis.

Actions to Take:

Request prescription for antibiotics: Pyelonephritis is a bacterial infection that requires antibiotic treatment to prevent complications and resolve the infection.

Encourage increased fluid intake: This helps to flush bacteria from the urinary tract, reducing the concentration of bacteria in the urine and helping to relieve symptoms.

Parameters to Monitor:

Child’s report of urgency: This can help assess if the infection is affecting the lower urinary tract as well and track the effectiveness of treatment.

Urine odor: Foul-smelling urine can indicate ongoing infection or bacterial presence and can be an indicator of the effectiveness of the treatment.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

The nurse should clarify the child's prescription of dextrose 5% in 0.45% sodium chloride with 20 mEq potassium chloride/L at 75 mL/hr because of the child's laboratory values. The elevated potassium level of 6.2 mEq/L, which is above the normal range of 3.4 to 4.7 mEq/L, indicates hyperkalemia. Administering additional potassium could exacerbate this condition, therefore, it is crucial to review the prescription and adjust it accordingly to ensure the safety and well-being of the child.

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A nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is preparing to assist with the administration of scheduled medications for a school-age child. Exhibits Drag 1 medication and 1 child finding to fill in each blank in the following sentence. The nurse should clarify the child's prescription of Medication because of the child's Finding.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

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A nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy?

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