A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Symptoms are continuous throughout the day.

Daytime symptoms occur more than twice a week.

Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.

Nighttime symptoms occur approximately twice a month.

Minor limitations occur with normal activity.

Answer and Explanation

Correct Answer : B,C,E

A. Symptoms are continuous throughout the day:
Incorrect: Continuous symptoms throughout the day are more indicative of moderate or severe persistent asthma, not mild persistent asthma.
B. Daytime symptoms occur more than twice a week:
Correct Answer: Children with mild persistent asthma may experience symptoms more than twice a week, but less than once a day.
C. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value: In mild persistent asthma, pulmonary function tests (e.g., PEF or FEV1) remain normal or close to normal, with values typically ≥80% of the predicted value, reflecting good lung function between episodes.
D. Nighttime symptoms occur approximately twice a month:
Mild persistent asthma often involves nighttime symptoms or awakenings occurring 3–4 times per month. If nighttime symptoms occur more frequently (e.g., once weekly), it suggests moderate persistent asthma.
E. Minor limitations occur with normal activity: Children with mild persistent asthma may experience minor limitations in their normal activities. These limitations are not severe and do not significantly impact daily life.

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Correct Answer is D

Explanation

A. "Newborns are abdominal breathers."
Explanation: While it is true that newborns primarily use their diaphragms for breathing (abdominal breathing), this statement does not specifically address why the respiratory rate should be counted for a full minute.
B. "Activity will increase the respiratory rate."
Explanation: This statement acknowledges that activity can influence the respiratory rate but does not specifically address the need to count for a full minute to capture the irregular patterns.
C. "Newborns do not expand their lungs fully with each respiration."
Explanation: This statement highlights a characteristic of newborn respiratory physiology but does not specifically explain the importance of counting the respiratory rate for a full minute.
D. "The rate and rhythm of breath are irregular in newborns."
Explanation:
Newborns often have irregular breathing patterns, and counting the respiratory rate for a full minute helps capture the variations in rate and rhythm accurately. Newborns may experience periods of rapid breathing followed by periods of slower breathing, and their respiratory patterns can be influenced by sleep-wake cycles, feeding, and other factors. Counting for a full minute provides a more comprehensive and representative assessment of the newborn's respiratory status.

A. Possible sexual abuse B. Possible trauma C. Presence of an allergy D. Presence of a respiratory infection

Correct Answer is A

Explanation

A. Possible sexual abuse.
Correct Answer: Chlamydial conjunctivitis in a child can raise concerns about possible sexual abuse. Chlamydia trachomatis, the bacterium responsible for chlamydial conjunctivitis, is commonly transmitted through contact with infected genital secretions. Therefore, the presence of chlamydial conjunctivitis in a child may warrant further investigation into the possibility of sexual abuse.
B. Possible trauma:
Incorrect: While trauma can cause eye-related symptoms, chlamydial conjunctivitis is specifically associated with an infection caused by Chlamydia trachomatis.
C. Presence of an allergy:
Incorrect: Allergic conjunctivitis may cause itchy, red, and swollen eyes, but chlamydial conjunctivitis is caused by a bacterial infection and is not related to allergies.
D. Presence of a respiratory infection:
Incorrect: Chlamydial conjunctivitis is not typically associated with respiratory infections. It is primarily caused by Chlamydia trachomatis and is more commonly linked to genital tract infections.

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A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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