A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open his son's airway when he is having trouble breathing.
What is the nurse's best response?
Advise the mother that overuse of the drug may cause chronic bronchitis.
Assure the mother that she is using the medication correctly.
Confirm that the medication helps to reduce airway inflammation.
Recommend that the mother bring the child in for immediate evaluation.
The Correct Answer is B
Albuterol is a beta-adrenergic agonist agent that is used to open the airways in people with bronchial asthma. The mother's use of this medication to open her son's airway when he is having trouble breathing is appropriate. Overuse of the drug may cause side effects, but it does not cause chronic bronchitis (A)
Albuterol helps to relax the muscles in the airways, but it does not reduce airway inflammation (C)There is no indication that the child needs immediate evaluation (D)
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child's symptoms. The other options (A, B, and D) may also be helpful, but placing the child in a quiet environment is a key intervention in this situation.
Correct Answer is D
Explanation
Hypoparathyroidism is a disorder in which the parathyroid glands produce insufficient amounts of parathyroid hormone, which regulates calcium and phosphorus levels in the body. In hypoparathyroidism, there is a decreased level of calcium in the blood, which can result in carpal spasm or tetany when pressure is applied to the upper arm.
Therefore, the nurse should review the child's calcium level (D) to determine if it is within the normal range. Low calcium levels can cause muscle spasms, seizures, and cardiac arrhythmias. Hypocalcemia may also result in other symptoms such as numbness, tingling, and muscle cramps.
Potassium (A), chloride (B), and sodium (C) are electrolytes that play important roles in various physiological processes in the body, but they are not directly related to the development of carpal spasm in a child with hypoparathyroidism. While hypokalemia (low potassium) or hyponatremia (low sodium) can cause muscle weakness or cramps, these conditions are not typically associated with carpal spasm in hypoparathyroidism.
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