A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions.
Which of the following statements by the child indicates an understanding of the plan?

“I will administer tobramycin prior to vest therapy.”.

“I will administer dornase alfa prior to vest therapy.”.

“I will administer flutter valve therapy after vest therapy.”.

“I will administer albuterol prior to vest therapy.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Tobramycin is an antibiotic often used in people with cystic fibrosis to combat bacterial infections in the lungs. However, it is not typically administered prior to vest therapy.

Choice B rationale

Dornase alfa is a medication used to thin the thick, sticky mucus in the lungs of people with cystic fibrosis. While it can help improve lung function and reduce the risk of respiratory infections, it is not typically administered prior to vest therapy.

Choice C rationale

Flutter valve therapy is another method used to clear mucus from the lungs. It is not typically administered after vest therapy.

Choice D rationale

Albuterol is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs. Administering albuterol prior to vest therapy can help open the airways and make the therapy more effective.

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

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it relaxes the muscles around the airways, allowing them to open up, or dilate. This makes it easier for air to get in and out of the lungs, and for mucus to be cleared out of the airways.

Choice B rationale

Albuterol does not thin the mucus. Other medications, such as hypertonic saline or dornase alfa, are used in cystic fibrosis to thin the mucus and make it easier to cough up.

Choice C rationale

By opening the airways, albuterol can help reduce wheezing, a high-pitched whistling sound that occurs when airways are narrowed.

Choice D rationale

Albuterol can help relieve symptoms of asthma, such as coughing and shortness of breath, by relaxing the muscles of the airways and increasing airflow.

A. Pain needs to be managed, as children will not eat or drink when in pain and can quickly become dehydrated. B. Report mild ear pain or bad breath after surgery. C. Your child may eat soft foods, no crunchy foods for the first few days. D. Your child will form scabs on their tonsils as they heal, there is no need to monitor them during this healing period.

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

Explanation

Choice A rationale

Pain management is crucial after a tonsillectomy. Pain can prevent children from eating or drinking, leading to dehydration. Therefore, ensuring that the child’s pain is well managed is an important part of post-operative care.

Choice B rationale

Mild ear pain or bad breath after surgery can be signs of complications such as infection. Therefore, parents should be instructed to report these symptoms if they occur.

Choice C rationale

After a tonsillectomy, the throat is often sore and swollen. Eating soft foods can help prevent further irritation or injury to the throat. Crunchy foods could scratch the healing throat and cause discomfort.

Choice D rationale

While it’s true that scabs will form on the tonsils as they heal, it’s important to monitor them. If a scab dislodges too early, it can cause bleeding. Therefore, this statement is not entirely accurate and should not be included in the discharge instructions.

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A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions.Which of the following statements by the child indicates an understanding of the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses should the nurse include? (Select all that apply)

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

Explanation

What instructions should the nurse include in the post-operative discharge instructions for a 6-year-old who just had a tonsillectomy? (Select All That Apply)

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

Explanation

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The nurse is caring for an infant who has a history of bronchopneumonia.What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?

The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.Which of the following statements by the parents indicates understanding of the discharge instructions?

A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions.
Which of the following statements by the child indicates an understanding of the plan?