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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
A weight loss of 0.25 kg (0.55 lb) may be within the range of normal fluctuation for an infant and may not necessarily warrant immediate reporting. However, it should be monitored closely.
Choice B reason:
Vomiting twice in 4 hours after receiving digoxin is a concerning finding. Digoxin has a narrow therapeutic range, and vomiting can lead to potential overdose. This should be reported to the provider for further evaluation.
Choice C reason:
A respiratory rate of 30/min may indicate increased work of breathing, which is a concern in an infant with heart failure. However, it is not specific to digoxin administration and may require
intervention but not immediate reporting.
Choice D reason:
A heart rate of 130/min is within the range of normal for an infant, especially one with heart failure. This finding is not specific to digoxin administration and may not warrant immediate reporting.
Correct Answer is C
Explanation
Choice A reason:
A maculopapular rash may be an allergic reaction to the antibiotic. While this should be reported, wheezing is a more urgent concern.
Choice B reason:
A headache may be a side effect of the antibiotic, but it is not as urgent as wheezing.
Choice C reason:
Wheezing can indicate a potential serious allergic reaction or anaphylaxis to the antibiotic. This is the priority finding to report to the provider.
Choice D reason:
An increased pulse may be a side effect of the antibiotic, but it is not as urgent as wheezing.
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