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."

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason:

Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice B reason:

Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice C reason:

Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice D reason:

Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue

ischemia and pain.

A. "It is not your fault that this happened." B. "You should have told someone about this sooner." C. "This should not have happened to you." D. "I promise I won't tell anyone about this."

Correct Answer is C

Explanation

Choice A reason:

While it's important to reassure the child, stating that it's not their fault is correct, the statement in choice C is a stronger affirmation of the inappropriateness of the situation.

Choice B reason:

This statement may inadvertently place blame on the child, which is not appropriate in this situation.

Choice C reason:

This statement communicates empathy and acknowledges that the child should not have experienced maltreatment.

Choice D reason:

While it's important to maintain the child's trust, the priority is to ensure the child's safety and report any suspected maltreatment to the appropriate authorities.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

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