NCLEX-PN Practice Q 87

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The nurse is teaching the mother of a child with cystic fibrosis how to do postural drainage. The nurse should tell the mother to:

  

     A. Use the heel of her hand during percussion

     B. Change the child’s position every 20 minutes

     C. Do percussion after the child eats and at bedtime

     D. Use cupped hands during percussion

    

    

Correct Answer: D. Use cupped hands during percussion

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Option D: The nurse or parent should use a cupped hand when performing chest percussion. This will curve to the chest wall and traps a cushion of air to soften the clapping. It will deliver the force required to drain the secretions.

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Option A: The hand should be cupped.

Option B: The child’s position should be changed every 5–10 minutes and the whole session should be limited to 20 minutes.

Option D: Chest percussion should be done before meals or at least 1.5 hours to 2 hours after meals to prevent nausea and vomiting.

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