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?

These therapies will decrease our child’s resistance to respiratory infections.

These therapies will only be done when our child is showing signs of illness.

These therapies will help to loosen our child’s secretions and allow for better expectoration.

These therapies will allow for the removal of mucus from our child’s GI tract that blocks digestion.

Answer and Explanation

The Correct Answer is C

Choice A rationale

These therapies will decrease our child’s resistance to respiratory infections. This statement is incorrect. The therapies mentioned - chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine - do not directly decrease a child’s resistance to respiratory infections.

Instead, they help manage the symptoms of cystic fibrosis by helping to clear mucus from the lungs, which can improve lung function and reduce the risk of lung infections.

Choice B rationale

These therapies will only be done when our child is showing signs of illness. This statement is incorrect. These therapies are part of the daily management of cystic fibrosis and are typically done regularly, not just when the child is showing signs of illness.

Choice C rationale

These therapies will help to loosen our child’s secretions and allow for better expectoration. This statement is correct. The goal of these therapies is to help clear thick, sticky mucus from the lungs, which can improve breathing and reduce the risk of lung infections.

Choice D rationale

These therapies will allow for the removal of mucus from our child’s GI tract that blocks digestion. This statement is incorrect. While cystic fibrosis can affect the digestive system by causing thick mucus to block the tubes that carry digestive enzymes from your pancreas to your small intestine, the therapies mentioned are primarily used to help clear mucus from the lungs.

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Correct Answer is ["69"]

Explanation

Step 1 is: To calculate the total body surface area (TBSA) involved in burns, we use the rule of nines or a modified version for children. For a 7-year-old child, the head accounts for 8.5% (front) + 8.5% (back), and each leg accounts for 6.5% (front) + 6.5% (back)3.

Step 2 is: Therefore, the total percentage of TBSA involved is (8.5% + 8.5%) + 2 * (6.5% + 6.5%) = 17% (head) + 26% (each leg) * 2 = 17% + 52% = 69%. So, the calculated percentage of total body surface area involved is 69%.

A. An eight-year-old child who weighs 60 pounds, rides a bike without training wheels, and is an active swimmer. B. A three-year-old child who weighs 28 pounds, requires help with feeding, dislikes most foods, and refuses to drink milk. C. A six-month-old who weighs 16 pounds, continues to breastfeed, has started solid foods, and is beginning to crawl. D. A four-year-old child who weighs 40 pounds, eats from the same plate every meal, and is occasionally a picky eater.

Correct Answer is B

Explanation

Choice A rationale

An eight-year-old child who weighs 60 pounds, rides a bike without training wheels, and is an active swimmer is showing appropriate developmental milestones for their age. Riding a bike and swimming are complex activities that require good motor coordination and balance. These activities also indicate that the child is physically active, which is beneficial for overall health.

Choice B rationale

A three-year-old child who weighs 28 pounds, requires help with feeding, dislikes most foods, and refuses to drink milk may be showing signs of a feeding disorder or picky eating, which can lead to nutritional deficiencies and impact growth and development. This child requires further evaluation to determine the cause of these feeding difficulties and to develop a plan to address them.

Choice C rationale

A six-month-old who weighs 16 pounds, continues to breastfeed, has started solid foods, and is beginning to crawl is showing appropriate developmental milestones for their age. The World Health Organization recommends exclusive breastfeeding for the first six months of life, followed by the introduction of appropriate complementary foods. Crawling is also a typical developmental milestone that usually appears between 6 and 10 months of age.

Choice D rationale

A four-year-old child who weighs 40 pounds, eats from the same plate every meal, and is occasionally a picky eater is within normal behavior for their age. It’s common for

preschoolers to have food preferences and to want routines, such as using the same plate. Picky eating is also a common behavior at this age and usually isn’t a cause for concern unless it leads to nutritional deficiencies or other health problems.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 7-year-old child with burns covering the entire head and both legs. Using the provided chart, what is the calculated percentage of total body surface area involved?

Correct Answer is ["69"]

Explanation

The nurse is conducting physical assessments for a group of children at a local wellness clinic. Which child requires further evaluation?

Correct Answer is B

Explanation

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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?