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 blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.
Choice B reason.
Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.
Choice C reason:
Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.
Choice D reason:
Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.
Correct Answer is D
Explanation
Choice A reason:
While an oatmeal bath can provide relief from itching, it is not the first step in treating poison ivy exposure. The immediate priority is to remove the plant oils from the skin.
Choice B reason:
Administering an oral corticosteroid may be indicated for severe cases of poison ivy, but it is not the initial step. Removing the plant oils from the skin is the first priority.
Choice C reason:
Applying calamine lotion can help soothe itching, but it is not the first action to take. The priority is to remove any remaining plant oils from the skin.
Choice D reason:
The first action the nurse should take is to remove any remaining plant oils from the skin by flushing the affected area with cold, running water. This helps to prevent further absorption of the irritant.
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