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 B

Explanation

Choice A rationale

Frequently reminding a child that only bad children have temper tantrums is not an effective strategy for managing tantrums. This approach can make the child feel bad about themselves and does not help them learn how to manage their emotions. It’s important to remember that tantrums are a normal part of toddler development and are not a sign that a child is bad.

Choice B rationale

Ignoring the tantrum as long as there is no physical danger is a recommended strategy for managing tantrums. By not giving attention to the tantrum, parents can avoid reinforcing the behavior. Once the tantrum is over, parents can give attention and praise to the child for calming down.

Choice C rationale

Sending a child to a quiet zone for 10 minutes after each tantrum can be an effective strategy for some children. However, this approach may not work for all children and is not typically the first strategy recommended by experts. It’s also important to note that the “quiet zone” should not be used as a punishment, but rather a place for the child to calm down.

Choice D rationale

Patiently reassuring a child until the tantrum ends is not typically recommended. This approach can actually prolong the tantrum by giving the child attention for the behavior. It’s generally more effective to ignore the tantrum and then give attention and praise once the child has calmed down.

A. The medication is a bronchodilator, which opens airways. B. The medication will thin the child’s mucus. C. The medication will reduce wheezing. D. The medication will decrease coughing and shortness of breath. E. The medication is a steroid, which reduces inflammation.

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

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it works by relaxing the muscles around the airways in the lungs. This allows the airways to open up, making it easier for the child to breathe.

Choice C rationale

Albuterol can help reduce wheezing, a common symptom of asthma. Wheezing occurs when the airways are narrowed or blocked, causing a whistling sound when the child breathes. By opening the airways, albuterol can help alleviate this symptom.

Choice D rationale

Albuterol can also decrease coughing and shortness of breath, two other common symptoms of asthma. By improving airflow in the lungs, albuterol can help the child breathe more easily and comfortably.

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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

The nurse is providing parents with suggestions about the appropriate actions to take when their toddler is having a temper tantrum.Which statement by the parents indicates an understanding?

Correct Answer is B

Explanation

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 will the nurse include? Select all that apply.

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

Explanation

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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?