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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 A

Explanation

Choice A rationale

Measuring head circumference every shift is unnecessary for a 6-year-old child with bacterial meningitis. This intervention is more relevant for infants where head circumference changes can indicate increased intracranial pressure.

Choice B rationale

Implementing seizure precautions is necessary as bacterial meningitis can cause seizures due to increased intracranial pressure and inflammation.

Choice C rationale

Admitting the client to a private room is necessary to prevent the spread of infection, as bacterial meningitis can be highly contagious.

Choice D rationale

Placing the client in a semi-Fowler’s position helps reduce intracranial pressure and promotes comfort.

Correct Answer is B

Explanation

Choice A rationale

Loosening restrictive clothing can help ensure the child is comfortable and can breathe easily during a seizure. However, it is not the priority action. The primary concern during a tonic- clonic seizure is to maintain the child’s airway and prevent aspiration, especially if the child is vomiting.

Choice B rationale

Positioning the child side-lying is the priority action. This position helps maintain an open airway and allows any vomit or secretions to drain out of the mouth, reducing the risk of aspiration.

Choice C rationale

Placing a pillow under the child’s head can provide comfort and prevent head injury during a seizure. However, it is not the priority action. The primary concern is to maintain the child’s airway and prevent aspiration.

Choice D rationale

Clearing the area of hazards is important to prevent injury during a seizure. However, it is not the priority action. The primary concern is to maintain the child’s airway and prevent aspiration.

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