The nurse is caring for a 10-year-old boy with Duchenne muscular ...

[pragya sharda]

The nurse is caring for a 10-year-old boy with Duchenne muscular dystrophy. As part of the nursing plan of care, the nurse focuses on maintaining his cardiopulmonary function.
 
  Which of the following interventions will best promote maximum chest expansion? A) Deep-breathing exercises
  B) Proper positioning, usually upright
  C) Coughing
  D) Chest percussion

Question 2

The nurse is assessing a 3-year-old boy's development. Which response by the child indicates the need for further assessment?
 
  A) He says a swear word when he hurts himself playing.
  B) He says pew when his sister has soiled her diaper.
  C) He laughs when his brother cries getting vaccinated.
  D) He constantly asks why? whenever he is told something.

[Hikerman221]

Answer to Question 1

B
Response:
The nurse should emphasize that the child's position should promote maximum chest expansion. This is usually in the upright position. Deep-breathing exercises are for strengthening and maintaining respiratory muscles. Coughing helps clear the airways. Chest percussion helps loosen secretions in the lungs.

Answer to Question 2

C
Response:
Laughing when his brother cries getting vaccinated indicates that he hasn't developed a sense of empathy yet, or there may be psychosocial issues, such as sibling rivalry, that should be assessed. The child may repeat a word even if it is out of context; this is called echolalia. Older toddlers have a well-developed sense of smell and will comment if they don't like a smell. The incessant why? is very common to toddlers' speech.

[pragya sharda]

Thank you

[Hikerman221]

No problemo