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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Clitoris: This is a highly sensitive erectile tissue and not connected to the urinary system.

B. Urethra: This is the correct site for catheter insertion, as it leads directly into the urinary bladder.

C. Labia: These are external folds of skin that surround the urethral and vaginal openings, not the site for catheter insertion.

D. Vagina: Inserting a catheter here would result in incorrect placement. The vagina is posterior to the urethra.

A. "Only your son can decide to who the laboratory results can be shared with." B. "I can give you those results as soon as I get them back from the laboratory." C. "I need to wait for the results of other tests before I can share the information to you." D. "Let us wait for the healthcare provider to come and share this information with you."

Correct Answer is A

Explanation

A. "Only your son can decide to who the laboratory results can be shared with."
Since the client is 18 years old, he is legally an adult and has the right to confidentiality regarding his medical information. The nurse should inform the mother that the son must provide consent before sharing any test results with her.

B. "I can give you those results as soon as I get them back from the laboratory." The nurse cannot release the results to the mother without the client's consent, as he is an adult and his medical information is confidential.

C. "I need to wait for the results of other tests before I can share the information to you." The nurse’s ability to share the results with the mother is based on the client’s consent, not on waiting for other tests.

D. "Let us wait for the healthcare provider to come and share this information with you." While it may be helpful for the healthcare provider to discuss the results, the key issue here is the client's consent. The nurse should clarify that the client is the one who must authorize sharing the results.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes the external genitalia of a female client in preparation for inserting an indwelling urinary catheter. At which location should the catheter be inserted? (Mark location on image)

Correct Answer is B

Explanation

A 18-year-old male client is admitted to the hospital with a possible drug overdose. His mother requests to know the results of the toxicology screen test. Which response is best for the nurse to provide?

Correct Answer is A

Explanation

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