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The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

A.

To monitor and assess the patient's lung function and oxygen saturation.

B.

To provide pain relief and reduce inflammation in the lungs.

C.

To improve lung function and remove mucus from the airways.

D.

To administer medications directly into the lungs for targeted treatment.

Answer and Explanation

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 A

Explanation

A. Distributive shock, particularly in the context of anaphylaxis, is characterized by widespread vasodilation that leads to a decrease in systemic vascular resistance and impaired blood flow to organs despite normal or increased cardiac output.

B. This option is incorrect because distributive shock involves decreased systemic vascular resistance due to vasodilation rather than an increase.

C. This statement describes hypovolemic shock, not distributive shock. Distributive shock is not primarily caused by the loss of blood volume.

D. While loss of myocardial contractility can lead to cardiogenic shock, it is not the mechanism behind distributive shock, which is related to vascular tone rather than heart function.

Correct Answer is C

Explanation

A. Montelukast is a leukotriene receptor antagonist used for long-term management and prevention of asthma symptoms, not for acute relief.

B. Budesonide is an inhaled corticosteroid used for long-term control of asthma but does not provide immediate relief during an acute attack.

C. Albuterol is a short-acting beta-agonist (SABA) that provides rapid bronchodilation and is the first-line medication for relieving acute asthma symptoms.

D. Fluticasone is also an inhaled corticosteroid intended for long-term management, which does not address the immediate needs of an acute asthma attack.

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