The nurse is preparing a child with cystic fibrosis for chest physiotherapy (CPT). Prior to performing the prescribed CPT, the nurse should
The nurse is preparing a child with cystic fibrosis for chest physiotherapy (CPT). Prior to performing the prescribed CPT, the nurse should
A. apply continuous pulse oximetry.
[17%]
B. ask the client to use the incentive spirometer.
[6%]
C. oxygenate the client with nasal cannula oxygen.
[10%]
D. administer the prescribed bronchodilator.
[67%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Respiratory
Client Need
Test Plan
Reduction of Risk Potential
Related Topic
Therapeutic Procedures
Item Type
Item Type
Application
Explanation
Choice D is correct. The nurse should administer the prescribed bronchodilator prior to CPT being performed. The bronchodilator should be administered 15-30 minutes before CPT. Administering the bronchodilator first will facilitate the passage of the mucous.
Choice A is incorrect. The nurse does not need to apply continuous pulse oximetry before performing CPT. CPT would not cause an interruption in ventilation like suctioning a tracheostomy. Thus, this piece of equipment is not necessary for CPT.
Choice B is incorrect. The client does not need to utilize the incentive spirometer (IS) prior to CPT. The IS promotes complete lung expansion and helps to prevent pulmonary problems. This would not have a synergistic action specifically with CPT.
Choice C is incorrect. Oxygenation before CPT is not necessary. This would be a step required to take prior to suctioning a client via a tracheostomy or endotracheal tube (ETT).
Related Videos
2 Key Topics
Cystic Fibrosis
31.8 Pediatric Respiratory Conditions
Additional Info
✓ The purpose of CPT is to loosen secretions
✓ CPT can be performed by manual percussion or specialized vests
✓ The prescribed bronchodilator should be administered 15-30 minutes before CPT to facilitate the passage of the mucous
✓ CPT should be performed at least 30 minutes before meals to increase the palatability of the meal
✓ Contraindications to CPT include rib fractures, increased intracranial pressure, and if the client is being anticoagulated
