A parent brings their child, who has a history of asthma, to the emergency room. The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has labored respirations. Which assessment is most important for the nurse to obtain?
Frequency that the child uses a rescue inhaler during the week.
Type of inhaler the child typically uses on a regular basis.
Type of allergen exposure or trigger for the current episode.
Last dose and type of rescue inhaler used by the child.
The Correct Answer is D
A. Frequency that the child uses a rescue inhaler during the week: While it is important to know how often the child uses a rescue inhaler, it does not provide immediate, critical information to assess the severity of the current asthma attack.
B. Type of inhaler the child typically uses on a regular basis: While knowing the type of inhaler the child uses regularly can provide insight into their asthma management, it is not the most critical information at this moment, the current treatment is he most urgent.
C. Type of allergen exposure or trigger for the current episode: Understanding the trigger for the current asthma episode is helpful for long-term management but is not as urgent in the immediate assessment of the child’s condition during an acute exacerbation.
D. Last dose and type of rescue inhaler used by the child: This information helps assess whether the child has received appropriate treatment and whether additional or different interventions are needed immediately to address the asthma exacerbation, helps guide further treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["75"]
Explanation
Dose per administration in milliliters = 15 mL.
Concentration of the medication = 12.5 mg/5 mL.
- Calculate the amount of medication in milligrams (mg) per administration.
Amount per administration (mg) = Dose per administration (mL) × (Concentration (mg) / Volume (mL))
= 15 mL × (12.5 mg / 5 mL)
= 15 mL × 2.5 mg/mL
= 37.5 mg.
- Determine the number of doses per day.
Doses are given every 12 hours, so Number of doses per day = 24 hours / 12 hours/dose
= 2 doses/day.
- Calculate the total daily dose in milligrams (mg).
Total daily dose (mg) = Amount per administration (mg) × Number of doses per day
= 37.5 mg × 2 doses
= 75 mg.
Correct Answer is B
Explanation
A. Tell the wife that her husband's neurologist would know more about alternative treatments to cure Parkinsonism: There are no cures for Parkinson's disease, and suggesting that alternative treatments could cure it could create unrealistic expectations.
B. Explain that there are no known conventional, alternative, or complimentary therapies that cure Parkinson's disease: This response provides accurate information while being honest about the limitations of current treatments for Parkinson's disease.
C. Compile a list of alternative medications that are effective in curing Parkinson's disease: No alternative or conventional medications currently cure Parkinson’s disease. The nurse should avoid suggesting potential cures that are not based on scientific evidence.
D. Encourage the wife to voice her feelings about having a husband with Parkinson's disease: While this may be supportive for the wife, it does not directly address her question about treatment options. The focus should be on providing accurate information regarding the disease and treatment options.
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