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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
At one month of age, infants are not expected to sit without support. Therefore, an inability to do so would not be a cause for concern at this age.
Choice B rationale
By one month, infants should be able to briefly raise their head when placed in a prone (on their stomach) position. If an infant is unable to do this, it could indicate a potential developmental delay or muscle weakness.
Choice C rationale
At one month, infants typically have not yet developed the coordination to bring an object to their mouth. Therefore, an inability to do so at this age would not be a cause for concern.
Choice D rationale
By one month, infants are not expected to have the fine motor skills necessary to pick up an object with their fingers. Therefore, an inability to do so would not be a cause for concern at this age.
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