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 A

Explanation

A. Agitation can be a sign of hypoxemia, as the body responds to low oxygen levels with restlessness and anxiety.

B. Nausea is less directly related to hypoxemia and more often associated with other conditions.

C. Hypotension is not a typical primary manifestation of hypoxemia; it is more associated with severe or advanced stages of illness.

D. Dysphagia (difficulty swallowing) is not a common symptom of hypoxemia during an asthma attack.

A. Assessing the client's erythematous rash B. Auscultating the rate and characteristics of the child's heart sounds C. Using a pain-rating tool to determine the severity of the joint pain D. Identifying the degree of parental anxiety related to the diagnosis

Correct Answer is B

Explanation

Assessing the erythematous rash is important, as it can indicate the presence of erythema marginatum, a common symptom of rheumatic fever, but it is not the priority.

B. Auscultating the rate and characteristics of the child's heart sounds is the priority assessment because acute rheumatic fever can cause carditis, which affects the heart valves and can lead to serious complications. Early detection of any cardiac involvement is crucial for timely intervention and management.

C. Assessing joint pain is necessary for comfort and symptom management but does not take precedence over potential cardiac complications.

D. Identifying parental anxiety is important for providing emotional support but is not the immediate priority in managing the child's acute condition.

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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

Naxlex Comprehensive Predictor Exams

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