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HESI Cystic Fibrosis and Rationale (Latest Update ) Questions & Answers -Grade A- 100-correct

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HESI Cystic Fibrosis and Rationale (Latest Update ) Questions & Answers -Grade A- 100-correct

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HESI: Cystic Fibrosis and Rationale (Latest
Update ) Questions & Answers
{Grade A} 100% Correct


Which action indicates to the nurse educator that the parents need more instruction


about the respiratory care of the child with CF complications?




Placing the client in a prone position when she is having a dyspneic episode.


The client's chest percussions and postural drainage should be performed no sooner


than 1 hour before meals or 1.5 hours after meals.


Encourage the parents to have client participate in physical activities such as running,


skipping, and swimming.


Perform the client's chest percussion and postural drainage after the administration of


bronchodilators or nebulized medications as prescribed. - correct answer Placing the


client in a prone position when she is having a dyspneic episode.

,Patients with dyspnea should be placed in a position to promote maximum ventilatory


efficiency and airway patency. The child should be placed in an upright position, not flat


on the stomach, when experiencing a dyspneic episode.




What actions should the nurse educator take to address this? Select all that apply




Instruct the parents to perform chest physiotherapy (CPT) either 2 hours before meals


or 2 hours after meals.


Aerosolized medications should be administered before CPT.


Discuss the use of a daily oral glucocorticoid steroid therapy.


Discuss the possibility of long-term oxygen administration to help with mobilizing


secretions.


Encourage "blowing" activities, such as bubbles or pinwheels. - correct answer


Instruct the parents to perform chest physiotherapy (CPT) either 2 hours before meals


or 2 hours after meals.

,CPT should be performed before meals or 1-1.5 hours after a meal to reduce


gastrointestinal upset, and the possibility of vomiting.




Aerosolized medications should be administered before CPT.




These medications should be administered after CPT.




Encourage "blowing" activities, such as bubbles or pinwheels.




Methods to stimulate deep breathing include blowing through a straw, blowing cotton


balls or a ping pong ball on a table, blowing balloons, or blowing pinwheels.

, Which instruction should the nurse educator give the client's parents concerning the


use of pancreatic enzymes as an oral prescription? (Select all that apply. One, some, or


all options may be correct.)




Administer pancreatic enzymes in the morning and at night.


Mix the pancreatic enzymes with hot, starchy foods such as macaroni or pasta.


Open the enzyme capsules and mix the beads in a nonprotein food.


Ensure that the client swallows the pancreatic enzyme capsule whole.


Ensure that enzymes are administered within 30 minutes of consuming meals and


snacks - correct answer Ensure that enzymes are administered within 30 minutes of


consuming meals and snacks




Enzymes are administered with a meal or within 30 minutes of a meal.

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