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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to elevate the child’s leg.
This is choice A. Elevating the child’s leg can help reduce swelling and improve circulation.
After elevating the child’s leg, the nurse can then administer pain medication (choice B), petal the edges of the cast (choice C), and teach the child about cast care (choice D).
Correct Answer is C
Explanation
During menstruation, girls lose some iron and should try to replace it by including iron-rich foods in their diet.
Choice A is wrong because the American Heart Association recommends limiting sodium intake to 1,500 milligrams per day.
Choice B is wrong because caloric needs vary depending on age, sex, height, weight, and level of physical activity.
Choice D is wrong because vitamin D is important for bone health and adolescents should not decrease their intake.
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