A nurse is providing education to a school-age child with a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
"Carry a rescue inhaler with you at all times."
"Use the peak expiratory flow meter once per week."
"Take cromolyn sodium at the first sign of breathing difficulty."
"You should stop playing basketball, but you can swim instead."
The Correct Answer is A
A. Carrying a rescue inhaler at all times is essential for managing asthma attacks and ensuring that relief is available in case of sudden symptoms.
B. The peak expiratory flow meter should be used more frequently than once per week, especially during symptom flare-ups, to monitor asthma control.
C. Cromolyn sodium is a preventive medication and should not be used as a rescue medication during an asthma attack.
D. Physical activity, including basketball, can generally be continued if the child’s asthma is well- controlled, and stopping exercise is not recommended unless symptoms are triggered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A soft, non-tender abdomen would be normal and not suggestive of any specific pathology.
B. A normal appearing perineum would not be expected with an anorectal malformation, which typically presents with a visible defect in the perineum.
C. Meconium leakage via the vagina or urethra is a possible sign of an anorectal malformation. This could occur if there is a fistula connecting the gastrointestinal tract to the urinary or genital tract.
D. Poor sucking reflex is not directly associated with anorectal malformations but may occur in certain other conditions, such as central nervous system issues.
Correct Answer is D
Explanation
A. Although pain management is an important aspect of post-operative care, opioid use such as codeine is generally avoided in children due to the risk of respiratory depression and other side effects. Non- opioid pain relievers are preferred for post-tonsillectomy care.
B. While it is important for the child to stay hydrated after a tonsillectomy, using a straw can increase the risk of trauma to the surgical site, leading to bleeding. The nurse should encourage sipping liquids carefully without using a straw.
C. Blowing the nose after a tonsillectomy can cause pressure that may disrupt the healing tissue, increasing the risk of bleeding. This action should be avoided in the post-operative period.
D. Bleeding is a significant concern after a tonsillectomy, especially in the first 24 hours. Frequent swallowing may indicate that the child is swallowing blood, and bright red emesis (vomiting) may also signal active bleeding. Monitoring for signs of bleeding is the nursing priority, as it can be life- threatening if not addressed promptly.
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