A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

Sitting on a nurse's lap leaning forward

Trendelensburg

Supine

Sitting on a nurse's lap leaning backward

Answer and Explanation

The Correct Answer is B

A. Sitting on a nurse's lap leaning forward is a safe position for postural drainage as it promotes drainage from the upper lobes of the lungs.

B. The Trendelenburg position, where the body is laid flat on the back with the feet higher than the head, is contraindicated for infants with cystic fibrosis because it can increase the risk of gastroesophageal reflux and aspiration.

C. The supine position is generally safe but does not facilitate effective postural drainage compared to other positions.

D. Sitting on a nurse's lap leaning backward is safe and can be used for drainage from the anterior lung segments.

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Correct Answer is B

Explanation

A. Budesonide is an inhaled corticosteroid used for long-term control, not for acute attacks.

B. Albuterol is a short-acting beta agonist (SABA) used as a first-line treatment for immediate relief during an acute asthma attack.

C. Fluticasone is an inhaled corticosteroid for long-term control and prevention, not for acute relief.

D. Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not for acute asthma attacks.

A. Gradually allowing the child to adapt to the lighted surroundings B. Informing the child that the procedure has been completed. C. Checking pedal pulses frequently. D. Encouraging the child to talk about the procedure

Correct Answer is C

Explanation

A. Allowing the child to adapt to the surroundings is not as critical as monitoring for complications.

B. Informing the child about the completion of the procedure is important for emotional support but does not address immediate post-procedure care needs.

C. Checking pedal pulses frequently is crucial after cardiac catheterization via the femoral artery to monitor for complications such as reduced blood flow or clot formation at the insertion site.

D. Encouraging the child to talk about the procedure is supportive but not the primary concern immediately following the procedure.

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A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

Nursing Test Bank

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