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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?

A.

Sitting on a nurse’s lap leaning forward.

B.

Supine.

C.

Sitting on a nurse’s lap leaning backward.

D.

Trendelenburg.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Sitting on a nurse’s lap leaning forward is a position that can be used for postural drainage in infants with cystic fibrosis. This position helps drain secretions from the upper lobes of the lungs.

 

Choice B rationale

 

The supine position (lying on the back) is also used for postural drainage to target different areas of the lungs. It is not contraindicated for infants with cystic fibrosis.

 

Choice C rationale

 

Sitting on a nurse’s lap leaning backward is another position that can be used for postural drainage. This position helps drain secretions from the lower lobes of the lungs.

 

Choice D rationale

 

The Trendelenburg position (lying flat on the back with the feet elevated higher than the head) is contraindicated for infants with cystic fibrosis. This position can increase the risk of gastroesophageal reflux and aspiration, which can worsen respiratory symptoms.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Restraining the child’s arms during a seizure is not recommended. Restraint can cause injury to the child and does not prevent the seizure from occurring. Instead, the focus should be on ensuring the child’s safety by removing any nearby objects that could cause harm.

Choice B rationale

Positioning the child laterally (on their side) is the correct action. This position helps maintain an open airway and allows any secretions to drain out of the mouth, reducing the risk of aspiration. It also facilitates better breathing and prevents the tongue from obstructing the airway.

Choice C rationale

Attempting to stop the seizure is not advisable. Seizures typically run their course and attempting to stop them can cause more harm than good. The nurse should focus on ensuring the child’s safety and monitoring the seizure’s duration and characteristics.

Choice D rationale

Using a padded tongue blade is outdated and not recommended. Inserting any object into the mouth during a seizure can cause injury to the teeth, gums, or airway. It is better to ensure the child’s safety by positioning them laterally and monitoring their airway.

Correct Answer is D

Explanation

ChoiceA rationale

Hypotensionisnotacommonmanifestationofhypoxemiaduringanasthmaattack.

ChoiceB rationale

Dysphagiaisnotacommonmanifestationofhypoxemiaduringanasthmaattack.

ChoiceCrationale

Nauseaisnotacommonmanifestationofhypoxemiaduring anasthmaattack.

ChoiceD rationale

Agitationisacommonmanifestationofhypoxemiaduringanasthmaattack.Hypoxemiacancauserestlessnessandagitationduetothelackof oxygenin thebody.

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