A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event.
The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?
Provide information on child development to the caregiver on when a child should be able to use an inhaler without supervision.
Provide the child with a pamphlet on how to use an inhaler,
Teach the child how to use the inhaler.
Refer the caregiver to the asthma educator.
Ask the caregiver, "what worries you about your child?"
Correct Answer : A,C,D,E
A. Providing information on child development helps the caregiver set realistic expectations about when a child is developmentally ready to self-administer medications independently.
B. Giving a pamphlet to a 5-year-old is not effective, since children at this age typically cannot read or fully comprehend instructions.
C. Teaching the child how to use the inhaler supports skill-building and fosters independence while still requiring supervision.
D. Referring the caregiver to an asthma educator ensures they receive specialized guidance for ongoing asthma management.
E. Asking the caregiver about their worries encourages open communication, strengthens trust, and allows the nurse to address specific concerns.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Increasing the rate of infusion of IV oxytocin could exacerbate the uterine hyperstimulation and fetal decelerations, potentially leading to fetal distress. It is not appropriate in this situation.
B. Slowing the client's rate of breathing would not address the issue of fetal decelerations caused by uterine hyperstimulation. This action is not relevant to the situation described.
C. Discontinuing the infusion of the IV oxytocin is the correct action in this scenario. The presence of uniform decelerations beginning at the peak of contractions suggests uterine hyperstimulation, likely caused by oxytocin. Discontinuing the oxytocin infusion allows the uterus to rest, reducing the risk of further fetal distress.
D. Decreasing the rate of infusion of the maintenance IV solution is not the priority in this
situation. The issue is uterine hyperstimulation caused by oxytocin, so discontinuing the oxytocin infusion is the appropriate action to take.
Correct Answer is ["A","C","D","E"]
Explanation
A. Providing information on child development helps the caregiver set realistic expectations about when a child is developmentally ready to self-administer medications independently.
B. Giving a pamphlet to a 5-year-old is not effective, since children at this age typically cannot read or fully comprehend instructions.
C. Teaching the child how to use the inhaler supports skill-building and fosters independence while still requiring supervision.
D. Referring the caregiver to an asthma educator ensures they receive specialized guidance for ongoing asthma management.
E. Asking the caregiver about their worries encourages open communication, strengthens trust, and allows the nurse to address specific concerns.
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