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. Racemic epinephrine nebulizer therapy is effective in reducing airway inflammation and aiding bronchodilation in croup.

B. While oral fluids are important for overall hydration, they do not directly address the bronchodilation needed for croup.

C. Long, slow breaths can be helpful but are not as directly effective as nebulized medications in managing croup symptoms.

D. Oral analgesics address pain but do not contribute to bronchodilation.

A. Agitation B. Nausea C. Hypotension D. Dysphagia

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.

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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?

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