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 C

Explanation

A. Drawing a blood culture is not indicated for suspected Clostridium difficile, as it is a gastrointestinal infection.
B. A stool specimen for occult blood is not specific for diagnosing Clostridium difficile.
C. Obtaining a stool specimen for culture is the appropriate action to diagnose Clostridium difficile, as it will identify the presence of the bacteria.
D. A tape test is used to detect pinworms, not Clostridium difficile.

A. Discard residual fluid aspirated from the stomach prior to the feeding. B. Administer the formula immediately after removing it from the refrigerator. C. Elevate the head of the bed to a 45-degree angle. D. Administer the feeding at a rate of 30 mL/min.

Correct Answer is C

Explanation

A. Residual fluid should not be discarded unless instructed by a healthcare provider, as it provides important information about gastric emptying and tolerance to previous feedings.
B. Formula should be brought to room temperature before administration to avoid causing discomfort or gastric irritation. Cold formula can cause cramps and slow gastric motility.
C. Elevating the head of the bed to a 45-degree angle helps prevent aspiration during feeding and promotes proper digestion. This position is critical for patient safety.
D. The feeding rate should be individualized based on the child's tolerance and prescribed regimen, and 30 mL/min is typically too fast for a preschooler, increasing the risk of aspiration or intolerance.

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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

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