A nurse is reinforcing teaching with the guardian of a school-age child who has asthma.Which of the following instructions should the nurse include in the teaching?
"Obtain a pneumococcal immunization for your child."
"Avoid allowing your child to participate in school sports."
"Have your child inhale deeply and quickly when using the peak flow meter."
"Use salmeterol to manage your child's acute exacerbations."
The Correct Answer is A
Choice A reason:
Obtaining a pneumococcal immunization is an important preventive measure for children with asthma, as respiratory infections can exacerbate their condition.
Choice B reason:
Encouraging physical activity is important for children with asthma. While some precautions may be necessary, avoiding participation in school sports altogether is not recommended.
Choice C reason:
Having the child inhale deeply and quickly when using the peak flow meter is not the recommended technique. The child should take a deep breath and exhale forcefully to obtain an accurate reading.
Choice D reason:
Salmeterol is a long-acting beta-agonist (LABA) used for maintenance therapy, not for managing acute exacerbations. It should be used in combination with an inhaled corticosteroid for optimal asthma control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Increased alertness may be a sign of improved glucose levels, but it is not as direct an indicator as a blood glucose measurement.
Choice B reason:
Diaphoresis is a symptom of low blood glucose levels and indicates the need for intervention rather than effectiveness of therapy.
Choice C reason:
A blood glucose level of 50 mg/dL is within the normal range and indicates that the glucagon therapy has been effective in raising blood glucose levels.
Choice D reason:
The presence of urine ketones indicates that the body is using fats for energy, which may occur in the absence of adequate glucose. This is not an indicator of the effectiveness of glucagon therapy.
Correct Answer is C
Explanation
Choice A reason:
Collecting a stool specimen for occult blood is not the most relevant test for suspected
Clostridium difficile infection. Stool culture or testing for C. difficile toxins is more appropriate.
Choice B reason:
Conducting a tape test is used to diagnose pinworms, not Clostridium difficile infection.
Choice C reason:
This statement is correct. Obtaining a stool specimen for culture, specifically for C. difficile, is the appropriate action for suspected infection.
Choice D reason:
Drawing a blood culture is not the primary diagnostic test for Clostridium difficile. Stool culture or testing for C. difficile toxins is more appropriate.
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