.A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?
"I am concerned about my child's future participation in team sports."
"My child doesn't like to sit still for nebulizer treatments."
"My child has only a small amount of mucus after percussion therapy."
"I think that my child has been running a fever over the last couple of days."
The Correct Answer is C
A. Concerns about participation in team sports are important, but they do not directly warrant a request for a high-frequency chest compression vest.
B. Discomfort with nebulizer treatments suggests the need for alternate therapies but does not specifically indicate a need for the vest.
C. A statement regarding a small amount of mucus after percussion therapy suggests that traditional methods of airway clearance may not be effective enough, indicating a need for a high-frequency chest compression vest to help mobilize mucus.
D. A fever may indicate an infection or exacerbation but does not directly relate to the need for a high-frequency chest compression vest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A dry cough is not a common adverse effect associated with ibuprofen and is more related to respiratory issues.
B. An increase in urine output is not a typical adverse effect of ibuprofen; rather, it may indicate a different condition.
C. Muscle stiffness is a symptom of juvenile idiopathic arthritis itself and not specifically an adverse effect of ibuprofen.
D. Asking about stomach pain or bloody stools is crucial as ibuprofen can cause gastrointestinal irritation, ulcers, or bleeding, which are serious adverse effects of long-term use.
Correct Answer is B
Explanation
A. Dietary salt restriction can be challenging, but patients often adapt over time with education and support; it is not usually the greatest barrier.
B. Many clients with high blood pressure feel well despite elevated readings, so the absence of symptoms can lead them to underestimate the seriousness of their condition and skip medications, making this the most significant barrier.
C. Adding a new medication may complicate the regimen, but understanding its purpose can improve adherence; it is less influential than asymptomatic disease.
D. A detailed plan of care is intended to guide the client, and while complexity can be a barrier, it is typically easier to address with education and support than the lack of perceived need due to no symptoms.
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