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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The primary purpose of pancreatic enzymes is to aid digestion, not to improve metabolism.
B. Pancreatic enzymes are used to help digest fats, proteins, and carbohydrates, which is essential for children with cystic fibrosis who have pancreatic insufficiency.
C. Enzymes should be taken with meals and snacks, not before them.
D. Enzymes should be taken with or just before meals to ensure they work effectively during digestion.
Correct Answer is C
Explanation
A. While diet can influence behavior, the concern here is the child’s developmental stage, making this response less relevant.
B. Discussing discipline is important, but understanding normal developmental behaviors is more appropriate in this context.
C. Explaining that temper tantrums are normal for toddlers, who are starting to develop a sense of autonomy, helps reassure the parent that this behavior is typical and part of the child's development.
D. Suggesting parenting books might be helpful, but it does not directly address the parent's immediate concern about the behavior.
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