A nurse is caring for a child who has cystic fibrosis and requires postural drainage.
Which of the following actions should the nurse take?
A.
Hold hand flat to perform percussions on the child.
B.
Perform the procedure twice each d
C.
Perform the procedure prior to meals.
D.
Administer a bronchodilator after the procedure
The correct answer and Explanation is :
The correct answer is C. Perform the procedure prior to meals.
Explanation:
Cystic fibrosis (CF) is a genetic disorder that affects the lungs and digestive system, leading to the production of thick, sticky mucus. This mucus can obstruct airways and lead to chronic respiratory infections and lung damage. Postural drainage is a technique used to help clear this mucus from the lungs, and it is a key part of managing CF.
Postural Drainage Timing:
Postural drainage is most effective when performed before meals. This is because the procedure can be uncomfortable and may cause coughing, which could interfere with a child’s appetite or digestion if done right after eating. Performing the procedure before meals allows the child to be more comfortable and ensures they have an empty stomach, minimizing the risk of nausea or vomiting.
Additional Explanations for Other Options:
- A. Hold hand flat to perform percussions on the child: This statement is incorrect. When performing chest percussions, the nurse should cup their hands to create a gentle, rhythmic tapping that helps dislodge mucus. Flat hands do not provide the necessary cupping effect and may not be as effective.
- B. Perform the procedure twice each day: This recommendation might not be appropriate for every child with CF. The frequency of postural drainage should be tailored to each child’s needs and may vary depending on their specific condition, mucus production, and overall treatment plan. While twice daily is a common recommendation, some children may require more or less frequent sessions.
- D. Administer a bronchodilator after the procedure: Typically, a bronchodilator is administered before postural drainage. Bronchodilators help to open up the airways and make it easier to clear mucus. Administering it after the procedure would not provide the same benefit in terms of enhancing airway clearance during the procedure.
In summary, performing postural drainage prior to meals is ideal as it avoids any gastrointestinal discomfort and allows for a more effective and comfortable experience for the child.