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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 C

Explanation

Choice A rationale

Puberty might be delayed if scrotal changes have not occurred by the age of 13½ to 14 years, not 11 years.

Choice B rationale

Changes in the voice occur during puberty but do not signal its beginning. Enlargement of the testicles is the first sign of puberty in boys.

Choice C rationale

Growth spurts in height typically occur toward the end of mid-puberty, making this the correct answer.

Choice D rationale

Gynecomastia, or the development of breast tissue in boys, commonly occurs during mid- puberty, not late puberty

Correct Answer is A

Explanation

Choice A rationale

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is suitable for assessing pain in infants and young children who cannot verbally communicate their pain. It evaluates five criteria to determine the level of pain.

Choice B rationale

The FACES scale is more appropriate for children aged 3 years and older who can point to the face that best represents their pain level.

Choice C rationale

The OUCHER scale is also designed for older children who can understand and use the photographic or numerical scale to indicate their pain.

Choice D rationale

The PANAD scale is used for assessing pain in patients with advanced dementia and is not suitable for infants.

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