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 A

Explanation

A. Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.

B. Growth spurts typically occur early in puberty, not towards the end.

C. Changes in voice occur later in puberty, not at the beginning.

D. Gynecomastia (breast tissue development) commonly occurs during early puberty rather than late puberty and is usually temporary.

A. Take glyburide with breakfast. B. Inject insulin in the deltoid muscle. C. Obtain an influenza vaccine annually. D. Administer glucagon for hyperglycemia.

Correct Answer is C

Explanation

A. Glyburide is an oral hypoglycemic agent used for type 2 diabetes, not type 1 diabetes, which requires insulin therapy.

B. Insulin should be injected into the subcutaneous tissue, typically in areas such as the abdomen or thighs, not the deltoid muscle.

C. Annual influenza vaccination is important for adolescents with type 1 diabetes to prevent infections that can affect blood glucose control.

D. Glucagon is used to treat severe hypoglycemia, not hyperglycemia. For hyperglycemia, insulin adjustments are necessary.

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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

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Correct Answer is A

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Correct Answer is C

Explanation

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