A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Perform vibration during the client's inspirations.

Percuss each lung segment for 15 min.

Administer albuterol prior to CPT.

Perform CPT immediately after the child eats.

Answer and Explanation

The Correct Answer is C

A.   Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B.   Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C.   Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D.   It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.

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Correct Answer is C

Explanation

A. Rotavirus is given earlier in infancy, typically before 8 months of age, and is not a priority at 18 months.
B. Influenza is important but is given seasonally, and the child is not necessarily due for this vaccine at 18 months unless indicated.
C. DTaP is a routine vaccine administered at 18 months as part of the series of childhood immunizations.
D. MMR is given at 12-15 months and again at 4-6 years, so it is not typically prioritized at 18 months if the child has already received it.

A. Assessing the child's pain level B. Assessing the child's vision C. Assessing the child's lung sounds D. Assessing the child's blood pressure

Correct Answer is A

Explanation

A. Pain is a common and distressing symptom in children with otitis media. Assessing and managing the
child’s pain should be a priority.
B. While assessing vision can be important in some conditions, it is not a priority for recurrent otitis media.
C. Assessing lung sounds is important for respiratory assessments but not as relevant for otitis media.
D. Blood pressure assessment is not specifically indicated for otitis media unless there are other concerns.

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A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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