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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Enlarged mandibular growth is not characteristic of sickle-cell anemia.

B. Depigmented areas on the abdomen are not associated with sickle-cell anemia.

C. Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.

D. Increased growth of long bones is not typically associated with sickle-cell anemia; instead, there may be pain and deformities related to sickle cell crises.

A. Decreased respiratory rate B. Increased formula consumption C. Increased crying episodes D. Decreased heart rate

Correct Answer is C

Explanation

A. A decreased respiratory rate is not a typical sign of pain in an infant and may indicate other issues.

B. Increased formula consumption is not a specific indicator of pain and could be related to other factors like hunger or comfort.

C. Increased crying episodes are a common sign of pain in infants, as they often use crying to express discomfort or distress.

D. Decreased heart rate is not typically associated with pain and may indicate other conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?

Correct Answer is C

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Correct Answer is C

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