The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?
To monitor and assess the patient's lung function and oxygen saturation.
To provide pain relief and reduce inflammation in the lungs.
To improve lung function and remove mucus from the airways.
To administer medications directly into the lungs for targeted treatment.
The Correct Answer is C
A. Monitoring lung function and oxygen saturation is important but not the primary purpose of chest physiotherapy.
B. Chest physiotherapy does not primarily focus on pain relief or reducing inflammation; instead, it targets mucus clearance.
C. Chest physiotherapy is primarily performed to enhance lung function by mobilizing and clearing thick mucus from the airways, which is critical in managing cystic fibrosis and preventing infections.
D. While medications can be administered via nebulization, chest physiotherapy itself is not used for direct medication delivery but rather for airway clearance.
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Correct Answer is D
Explanation
A. Preparing for immediate surgery is necessary, but the priority intervention is to ensure adequate oxygenation and blood flow through the ductus arteriosus before surgery can be performed.
B. Initiating feeding through a nasogastric tube is not a priority for an infant with this condition, as their immediate need is to address the circulatory issue rather than feeding.
C. Administering oxygen via nasal cannula may provide some relief but is not sufficient as a standalone intervention for transposition of the great vessels, which requires maintaining ductal patency to allow mixing of oxygenated and deoxygenated blood.
D. Administering prostaglandin E1 (PGE1) is the priority intervention, as it helps maintain patency of the ductus arteriosus, allowing for temporary stabilization of the infant’s condition until surgical intervention can be performed.
Correct Answer is D
Explanation
A. Avoiding all oily foods is not necessary, as dietary factors have varying effects on acne; instead, moderation is key.
B. Popping pimples can lead to scarring, infection, and further inflammation, making this an inappropriate recommendation for acne management.
C. Using strong astringents can irritate the skin and worsen acne; gentle skin care is more effective for maintaining healthy skin.
D. Washing the face with a gentle cleanser twice a day helps to remove excess oil and dirt without irritating the skin, which is the most appropriate recommendation for managing acne during puberty.