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 A
Explanation
Choice A reason:
Using four words in a sentence is an appropriate developmental milestone for a 3-year-old child. By this age, children typically have a vocabulary that allows them to form short sentences and express themselves.
Choice B reason:
Tying shoelaces is a fine motor skill that is typically developed later, around 5-6 years of age.
Choice C reason:
Skipping on alternate feet is a gross motor skill that is typically developed around 4-5 years of age.
Choice D reason:
Naming the days of the week is a cognitive skill that is typically developed later, around 5-6 years of age. It involves not only memory but also an understanding of the concept of days and their order.
Correct Answer is A
Explanation
Choice A reason:
When suctioning a tracheostomy tube, it's important to limit the suctioning time to 3 to 4 seconds to avoid hypoxia and trauma to the airway.
Choice B reason:
Sterile technique, not clean technique, is used when performing tracheostomy suctioning to prevent infection.
Choice C reason:
The catheter should be sized appropriately for the tracheostomy tube, but it should not fit too snugly to avoid causing trauma to the airway.
Choice D reason:
Instilling saline prior to suctioning is not recommended as it can lead to complications, including aspiration and increased risk of infection.
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