A nurse is caring for an 11-year-old client who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Budesonide

Albuterol

Fluticasone

Montelukast

Answer and Explanation

The Correct Answer is B

A.   Budesonide is an inhaled corticosteroid used for long-term asthma control and is not appropriate for immediate relief during an acute asthma attack.
B.   Albuterol is a short-acting beta-agonist (SABA) and is the first-line medication for quickly relieving bronchospasm during an acute asthma attack.
C.   Fluticasone is an inhaled corticosteroid, which is used for long-term asthma control but not for rapid relief during an acute episode.
D.   Montelukast is a leukotriene receptor antagonist, used for long-term asthma control, and would not be effective for immediate relief during an acute attack.

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Correct Answer is C

Explanation

A. Rotavirus is given earlier in infancy, typically before 8 months of age, and is not a priority at 18 months.
B. Influenza is important but is given seasonally, and the child is not necessarily due for this vaccine at 18 months unless indicated.
C. DTaP is a routine vaccine administered at 18 months as part of the series of childhood immunizations.
D. MMR is given at 12-15 months and again at 4-6 years, so it is not typically prioritized at 18 months if the child has already received it.

A. Administer saline drops B. Obtain visual acuity C. Cleanse the eyes D. Obtain a history

Correct Answer is B

Explanation

A. Administering saline drops may be appropriate if there is a foreign body or irritation, but it is not the priority in a case of blurred vision.
B. The priority is to assess the child's visual acuity to determine the severity and possible cause of the blurred vision. This is essential to guide further diagnostic steps.
C. Cleansing the eyes may be helpful if there is visible debris or infection, but it is not the first priority in assessing blurred vision.
D. Obtaining a history is important but would follow after the visual acuity assessment, as it can help provide context for the symptoms.

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A nurse is caring for an 11-year-old client who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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