A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?
"I am concerned about my child's future participation in team sports."
"My child doesn't like to sit still for nebulizer treatments."
"My child has only a small amount of mucus after percussion therapy."
"I think that my child has been running a fever over the last couple of days."
The Correct Answer is C
Rationale:
A. Concerns about participation in team sports are important, but they do not directly warrant a request for a high-frequency chest compression vest.
B. Discomfort with nebulizer treatments suggests the need for alternate therapies but does not specifically indicate a need for the vest.
C. A statement regarding a small amount of mucus after percussion therapy suggests that traditional methods of airway clearance may not be effective enough, indicating a need for a high-frequency chest compression vest to help mobilize mucus.
D. A fever may indicate an infection or exacerbation but does not directly relate to the need for a high-frequency chest compression vest.
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Correct Answer is A
Explanation
Rationale:
A. Making a referral for social services is appropriate as they can assist the client with discharge planning, home care services, and resources for palliative care to support the client's wishes.
B. While it is important to explain the risks of leaving against medical advice, the priority is to support the client’s desire to go home, rather than focusing on the potential consequences at this moment.
C. Contacting the facility chaplain could be beneficial for emotional support, but it does not address the immediate need for facilitating the client’s wish to go home.
D. Encouraging the client to continue with inpatient care contradicts their expressed desire to be with family, which is a crucial aspect of their emotional well-being in this situation.
Correct Answer is ["B","D","E"]
Explanation
Rationale:
A. Polyuria is not typically associated with immobility; instead, immobility can lead to urinary retention.
B. Contractures of the extremities occur due to prolonged immobility, leading to shortening of muscles and tendons.
C. Diarrhea is not a common complication of immobility; constipation is more frequently seen due to decreased mobility.
D. Crackles in the lungs can develop due to stasis of secretions and respiratory complications related to immobility.
E. Pressure ulcers develop from prolonged pressure on the skin due to immobility, especially over bony prominences.