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","B","C"]

Explanation

A. Removing objects from the bed is necessary to prevent injury during the seizure.

B. Placing the client in a side-lying position helps to maintain an open airway and reduces the risk of aspiration.

C. Assessing airway patency is crucial to ensure the client can breathe adequately during and after the seizure.

D. Placing a tongue depressor or any object in the client's mouth is contraindicated, as it can cause injury or obstruct the airway.

E. Restraining the client is also contraindicated because it can cause harm or increase agitation during a seizure.

A. Conjunctivae B. Ear lobes C. Soles of the feet D. Oral mucosa

Correct Answer is D

Explanation

A. The conjunctivae can show signs of cyanosis but is not the most reliable indicator of central cyanosis.

B. Ear lobes may show peripheral cyanosis but are not reliable for central cyanosis.

C. The soles of the feet are not typically assessed for cyanosis in this context.

D. The oral mucosa is the most reliable indicator of central cyanosis, as it reflects the oxygenation status of the blood more accurately.

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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

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is D

Explanation

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