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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
Correct Answer is A
Explanation
A. It is normal for toddlers to exhibit defiance, say "no" often, and become upset when scolded as part of the development of autonomy and independence. Seeking comfort afterward is also typical.
B. While the toddler may be struggling with emotional regulation, this behavior is typical and does not necessarily indicate ineffective coping.
C. There is no indication that further assessment is necessary unless other concerns arise. This behavior is normal for the developmental stage.
D. The toddler's behavior is not necessarily due to unmet affection; it is more likely part of the developmental process.
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