A nurse in a provider's office is caring for a child who has a history of asthma. Which of the following findings should the nurse report to the provider?
Respiratory rate of 24 breaths/min
Wheezes in the lower lobes
Oxygen saturation of 95%
Peak expiratory flow rate of 80% of personal best
The Correct Answer is B
Choice A reason: A respiratory rate of 24 breaths/min is within the normal range for a child, depending on their age. It does not indicate respiratory distress or asthma exacerbation.
Choice B reason: Wheezes in the lower lobes are a sign of airway obstruction and inflammation due to asthma. They indicate that the child may need additional medication or intervention to relieve their symptoms. The nurse should report this finding to the provider.
Choice C reason: An oxygen saturation of 95% is within the normal range for a child. It does not indicate hypoxia or impaired gas exchange due to asthma.
Choice D reason: A peak expiratory flow rate of 80% of personal best is considered a green zone result, meaning that the child's asthma is well controlled. It does not indicate a need for change in the child's asthma action plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Insulin therapy and fluid replacement are the main treatments for DKA, as they lower the blood glucose level and correct the dehydration and electrolyte imbalance caused by osmotic diuresis and acidosis.
Choice B reason: Glucagon injection and potassium supplements are not indicated for DKA, as they may worsen the hyperglycemia and the hyperkalemia. Glucagon stimulates the liver to release more glucose into the bloodstream, while potassium supplements may increase the risk of cardiac arrhythmias.
Choice C reason: Bicarbonate infusion and sodium restriction are not the first-line treatments for DKA, as they may have adverse effects on the acid-base balance and the fluid status. Bicarbonate infusion may cause paradoxical cerebral acidosis and hypokalemia, while sodium restriction may exacerbate the hyponatremia and the hypovolemia.
Choice D reason: Dextrose infusion and diuretics are contraindicated for DKA, as they may increase the blood glucose level and the dehydration. Dextrose infusion may trigger a rebound hyperglycemia, while diuretics may cause further fluid and electrolyte loss.
Correct Answer is A
Explanation
Choice A reason: The American format for writing dates is month/day/year, so 2/20/2024 is the correct way to write the date February 20, 2024.
Choice B reason: The European format for writing dates is day/month/year, so 20/2/2024 is not the correct way to write the date in the American format.
Choice C reason: The ISO format for writing dates is year/month/day, so 2024/2/20 is not the correct way to write the date in the American format.
Choice D reason: This is an invalid format for writing dates, as there is no month with 20 days.
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