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","B","C","D"]
Explanation
Choice A reason: This is a finding that the nurse should report to the provider. A pressure dressing is applied to the site of the catheter insertion to prevent bleeding and hematoma formation. If the dressing is saturated with bloody drainage, it indicates that the bleeding is not controlled and may lead to hemorrhage or infection.
Choice B reason: This is a finding that the nurse should report to the provider. Pulses of the extremity where the catheter was inserted should be equal to or stronger than the other extremity. If the pulses are diminished, it indicates that there is impaired blood flow to the extremity, which may be caused by arterial occlusion, thrombosis, or vasospasm.
Choice C reason: This is a finding that the nurse should report to the provider. The color and temperature of the extremity where the catheter was inserted should be similar to the other extremity. If the extremity is cool and pale, it indicates that there is inadequate perfusion to the extremity, which may be caused by the same factors as the diminished pulses.
Choice D reason: This is a finding that the nurse should report to the provider. Pain is an indicator of tissue damage or inflammation. The adolescent should have minimal or no pain after the procedure, as the site is numbed with local anesthesia. If the pain is present or increases, it indicates that there is a complication, such as bleeding, infection, or nerve injury.
Choice E reason: This is not a finding that the nurse should report to the provider. The apical pulse is the heart rate measured at the apex of the heart. It is a routine vital sign that the nurse should monitor after the procedure, but it is not a sign of a complication unless it is abnormal, such as too fast, too slow, or irregular. The nurse should compare the apical pulse with the baseline and the expected range for the adolescent's age and condition.
Correct Answer is A
Explanation
Choice A reason: This statement shows that the parents understand that toddlers need a balanced diet that includes a variety of foods from different food groups. The quality of food is more important than the quantity, as toddlers may have erratic eating patterns and may not consume large amounts of food at one time.
Choice B reason: This statement is incorrect, as toddlers typically have a decreased appetite compared to infants. This is due to their slower growth rate and increased interest in other activities. Parents should not force their toddlers to eat more than they want, but rather offer them healthy snacks and meals throughout the day.
Choice C reason: This statement is incorrect, as toddlers do not need vitamin supplements unless they have a specific deficiency or medical condition. Giving vitamins to a picky eater may not address the underlying causes of their food preferences, such as texture, taste, or appearance. Parents should encourage their toddlers to try new foods and avoid using food as a reward or punishment.
Choice D reason: This statement is incorrect, as toddlers do not need 3,000 calories per day. The average daily caloric intake for a toddler is about 1,000 to 1,400 calories, depending on their age, weight, and activity level. Parents should not overfeed their toddlers or give them high-calorie foods that may lead to obesity or malnutrition.
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