A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?
Sitting on a nurse's lap leaning forward
Trendelensburg
Supine
Sitting on a nurse's lap leaning backward
The Correct Answer is B
A. Sitting on a nurse's lap leaning forward is a safe position for postural drainage as it promotes drainage from the upper lobes of the lungs.
B. The Trendelenburg position, where the body is laid flat on the back with the feet higher than the head, is contraindicated for infants with cystic fibrosis because it can increase the risk of gastroesophageal reflux and aspiration.
C. The supine position is generally safe but does not facilitate effective postural drainage compared to other positions.
D. Sitting on a nurse's lap leaning backward is safe and can be used for drainage from the anterior lung segments.
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Related Questions
Correct Answer is C
Explanation
A. Erikson's stage of initiative versus guilt typically occurs during the preschool years (3-6 years), not the toddler stage.
B. Imaginary playmates are more characteristic of the preschool years rather than the toddler stage.
C. Toddlers are in Erikson's stage of autonomy versus shame and doubt, characterized by negative behaviors as they assert independence and develop autonomy.
D. Demonstrations of sexual curiosity become more pronounced during the preschool years and are less typical in the toddler stage.
Correct Answer is D
Explanation
A. Children with sickle cell anemia should receive all recommended immunizations to protect against infections, which can trigger a sickle cell crisis.
B. Participating in sports should be done with caution, and activities that lead to dehydration or overexertion should be avoided.
C. Over-the-counter medications should be used cautiously and under the guidance of a healthcare provider, as some medications may not be suitable for children with sickle cell anemia.
D. Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.
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