A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments.
The nurse should identify which of the following findings as an indication that the therapy has been effective?
Increased urine output.
Increased expectoration.
Reduced pain.
Increased heart rate.
Increased heart rate.
The Correct Answer is B
Chest physiotherapy treatments aim to improve ventilation and mucociliary clearance by removing tenacious and obstructing secretions in patients with cystic fibrosis.
Increased expectoration indicates that the therapy has been effective in clearing secretions.
Choice A is wrong because increased urine output is not an indication of the effectiveness of chest physiotherapy.
Choice C is wrong because reduced pain is not a specific indication of the effectiveness of chest physiotherapy.
Choice D is wrong because increased heart rate is not an indication of the effectiveness of chest physiotherapy.
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Correct Answer is D
Explanation
Steatorrhea, or fatty stools, is a common symptom of cystic fibrosis.
Cystic fibrosis can cause the pancreas to become blocked with mucus, preventing digestive enzymes from reaching the small intestine.
This can result in difficulty absorbing nutrients from food and can lead to steatorrhea.
Choice A is wrong because rhinorrhea is not a common symptom of cystic fibrosis.
Choice B is wrong because weight gain is not a common symptom of cystic fibrosis; in fact, difficulty gaining weight is a common symptom.
Choice C is wrong because visible peristalsis is not a common symptom of cystic fibrosis.
Correct Answer is D
Explanation
The nurse should plan to administer the human papillomavirus (HPV) vaccine to the 12-year-old client.
The Centers for Disease Control and Prevention (CDC) recommends that children aged 11-12 years old receive two doses of the HPV vaccine separated by 6-12 months.
Choice A is wrong because Hepatitis A vaccine is typically given to children at age.
Choice B is wrong because Varicella vaccine is typically given to children at ages 12-15 months and 4-6 years.
Choice C is wrong because DTaP vaccine is typically given to children at ages 2, 4, and 6 months, and between ages 15-18 months and 4-6 years.
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