Author Question: Several patients are experiencing increased respiratory secretions and require intervention to ... (Read 42 times)

melina_rosy · **on:** Jul 22, 2018

Several patients are experiencing increased respiratory secretions and require intervention to assist in their removal. Chest percussion is indicated and appropriate for the patient experiencing which one of the following?

a. Thrombocytopenia
b. Cystic fibrosis
c. Osteoporosis
d. Spinal fracture

Question 2

To counter obesity in adolescents, increasing physical activity is often more important than curbing intake. Sports and regular, moderate to intense exercise necessitate dietary modifications to meet increased energy needs for adolescents.

The nurse understands that these modifications include a. Decreasing carbohydrates to 25 to 30 of total intake.
b. Decreasing protein intake to .75 g/kg/day.
c. Ingesting water before and after exercise.
d. Providing vitamin and mineral supplements.

chevyboi1976 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B

Feedback
A Percussion is contraindicated in patients with bleeding disorders, such as the patient with thrombocytopenia.
B Chest percussion is recommended for a patient who produces greater than 30 mL of sputum a day. It would be appropriate to assist the cystic fibrosis patient in mobilizing the thick pulmonary secretions.
C Percussion is contraindicated in the patient with osteoporosis.
D Percussion is contraindicated in the patient with a spinal fracture or with fractured ribs.

Answer to Question 2

C
Adequate hydration is very important for all athletes. They need to ingest water before and after exercise to prevent dehydration, especially in hot, humid environments. Carbohydrates, both simple and complex, are the main source of energy, providing 55 to 60 of total daily kilocalories. Protein needs increase to 1.0 to 1.5 g/kg/day. Vitamin and mineral supplements are not required, but intake of iron-rich foods is required to prevent anemia.