Answer:
The most appropriate nursing intervention for a child with cystic fibrosis who is having difficulty clearing secretions is airway clearance techniques (ACTs). Cystic fibrosis is a genetic disease that affects the respiratory and digestive systems, among others, and leads to the production of thick mucus in the lungs that can be difficult to clear. ACTs help to mobilize this mucus, making it easier to cough up and clear from the lungs.
There are several types of ACTs that may be appropriate for a child with cystic fibrosis, including:
Chest physiotherapy: This involves manually percussing or vibrating the chest to help loosen and mobilize secretions.
Postural drainage: This involves positioning the child in different positions to help drain secretions from different areas of the lungs.
Breathing exercises: These exercises can help to improve lung function and may include techniques such as diaphragmatic breathing and pursed-lip breathing.
High-frequency chest wall oscillation: This involves the use of a vest or other device to deliver high-frequency vibrations to the chest, which can help to mobilize secretions.
The specific ACT used will depend on the child's age, clinical condition, and personal preference. It is important for the nursing staff to work with the child and their family to develop an individualized plan of care that includes appropriate ACTs to help manage their cystic fibrosis symptoms.
Step-by-step explanation: