A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

"Has your child been exposed to any of the usual asthma triggers?"

"What time did your child's symptoms begin?"

"When was your child's last dose of medication?"

"When was your child last admitted to the hospital with asthma?"

Answer and Explanation

The Correct Answer is C

A.   While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B.   Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C.   This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D.   Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

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Correct Answer is C

Explanation

A. While yogurt is a nutritious food, it is not a significant source of iron.
B. Oranges are rich in vitamin C, which can help the body absorb iron from other foods. However, they are not a significant source of iron themselves.
C. Red meat, such as beef, lamb, and pork, is an excellent source of heme iron, which is easily absorbed by the body. This makes red meat a highly recommended food for people with iron deficiency.
D. Cashews are a good source of plant-based iron, but they also contain phytates, which can interfere with iron absorption. Therefore, while cashews can contribute to iron intake, they may not be as effective as red meat in addressing iron deficiency.

A. Places a surgical mask on the patient to transport to radiology. B. Places the patient on droplet precautions. C. Wears a surgical mask when providing patient care. D. Places the patient in a private, negative airflow room. E. Wears eye protection when collecting sputum samples.

Correct Answer is ["A","D","E"]

Explanation

A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

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A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

Correct Answer is C

Explanation

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

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