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:
Reducing fiber intake is not necessary for a client in skeletal traction. Maintaining a balanced diet, including fiber, is important for overall health.
Choice B reason:
The nurse should not lift the traction weights off the floor. The weights must hang freely to provide the necessary traction.
Choice C reason:
Performing passive range-of-motion exercises helps prevent stiffness and muscle atrophy in the affected extremity. This is an important nursing intervention for a client in skeletal traction.
Choice D reason:
Applying protective padding to the pin sites is essential to prevent pressure and irritation. However, this action alone does not address the need for range-of-motion exercises.
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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