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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypertension is not typical for nephrotic syndrome; instead, nephrotic syndrome often presents with low blood pressure or normal blood pressure.
B. Polyuria is more commonly associated with conditions like diabetes mellitus rather than nephrotic syndrome, which typically presents with reduced urine output.
C. Facial edema is a common finding in nephrotic syndrome due to fluid retention and is often noticeable in the periorbital area.
D. Smokey brown urine is indicative of hematuria or glomerulonephritis, not nephrotic syndrome.
Correct Answer is A
Explanation
A. The priority is to discuss the findings with the primary care provider to determine the next steps in diagnosis and intervention. Early identification and referral are crucial for addressing developmental delays.
B. Referring to early intervention is important but should follow the discussion with the primary care provider to ensure an appropriate and coordinated response.
C. Providing pamphlets is supportive but secondary to initiating a formal evaluation and intervention process.
D. Educating the parents is essential, but it should be based on a confirmed diagnosis and plan developed in collaboration with healthcare providers.
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