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 D
Explanation
Rationale:
A. Asking a psychiatrist to talk with the parents may not be the most appropriate immediate
action when abuse is suspected. Reporting to the authorities should take precedence to ensure the child's safety.
B. Obtaining a detailed history is important but should be done after reporting the suspected abuse to the authorities.
C. Separating the child from the parents may not be feasible or appropriate in all situations.
Reporting to the authorities is the priority action to ensure proper investigation and protection of the child.
D. Report the suspected abuse to the authorities. Suspected child abuse must be reported
immediately to the appropriate authorities, such as child protective services or law enforcement, for further investigation and intervention to ensure the safety and well-being of the child.
Correct Answer is ["5.3"]
Explanation
To calculate the dosage of acetaminophen for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.
The child weighs 28 lb, which is approximately 12.7 kg (28 / 2.2 = 12.7).
The prescribed dose is 10 mg/kg, so the child's dose is 127 mg (10 mg/kg 12.7 kg).
Now, using the concentration of the available medication, which is 120 mg/5 mL, you can calculate the volume of medication needed.
For 120 mg of acetaminophen, 5 mL of liquid is required, so for 127 mg, it would be 5 mL (127 mg / 120 mg) = 5.29 mL.
Therefore, the nurse should administer 5.3 mL, rounding to the nearest tenth as instructed.
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