An 8-year-old child, who has a history of asthma, is seen in the office of the school nurse with coughing and wheezing. Which of the following actions should the nurse perform first?

Notify the child's parents of his condition.

Educate the child to avoid triggers.

Transport the child to the emergency department.

Assess the child's peak expiratory flow and compare it to the Asthma Action Plan.

Answer and Explanation

The Correct Answer is D

Choice A reason: Notifying the child's parents of his condition is important, but it is not the first action that the nurse should take. The nurse should prioritize the child's immediate needs and assess his respiratory status.

Choice B reason: Educating the child to avoid triggers is a preventive measure that can help reduce the frequency and severity of asthma attacks, but it is not helpful in an acute situation. The nurse should focus on providing relief and monitoring the child's response.

Choice C reason: Transporting the child to the emergency department may be necessary if the child does not respond to the initial interventions or if his condition worsens, but it is not the first action that the nurse should take. The nurse should first attempt to manage the child's symptoms in the office using the Asthma Action Plan.

Choice D reason: Assessing the child's peak expiratory flow and comparing it to the Asthma Action Plan is the first action that the nurse should take. This will help the nurse determine the severity of the child's asthma attack and the appropriate steps to follow. The Asthma Action Plan is a written document that provides individualized instructions for managing asthma based on the child's symptoms and peak flow readings.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Fidelity is the principle of being faithful and loyal to one's commitments and obligations. It is not directly related to the situation, although the nurse may have a duty to respect the parent's wishes.

Choice B reason: Equality is the principle of treating everyone fairly and impartially. It is not relevant to the situation, as there is no issue of discrimination or favoritism involved.

Choice C reason: Autonomy is the principle of respecting the right of individuals to make their own decisions. It is the most applicable to the situation, as the nurse recognizes the parent's authority to decide what is best for their child.

Choice D reason: Justice is the principle of distributing benefits and burdens equitably and according to valid criteria. It is not pertinent to the situation, as there is no conflict of interest or allocation of resources involved.

A. Emancipation B. Informed consent C. Assent D. Confidentiality

Correct Answer is C

Explanation

Choice A reason: Emancipation is the legal process of granting a minor the rights and responsibilities of an adult. It is not related to the process of obtaining agreement from a child for medical treatment or research.

Choice B reason: Informed consent is the process of obtaining permission from a competent individual for medical treatment or research, after providing them with adequate information about the risks and benefits. It is not applicable to children who are not legally capable of giving consent.

Choice C reason: Assent is the process of obtaining agreement from a child for medical treatment or research, after explaining the procedures and outcomes in a developmentally appropriate way. It is an ethical requirement for involving children in health care decisions that affect them.

Choice D reason: Confidentiality is the principle of protecting the privacy of personal information of patients or research participants. It is not the same as obtaining agreement from a child for medical treatment or research.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An 8-year-old child, who has a history of asthma, is seen in the office of the school nurse with coughing and wheezing. Which of the following actions should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Shortly before a child's elective surgery, the parent tells the nurse, "I am having second thoughts about my child undergoing this surgery." The nurse respects the parent's concern and calls the surgeon. What ethical/moral principle is represented by this situation?

Correct Answer is C

Explanation

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, especially when treatment is part of research protocols. The term for this process is:

Correct Answer is C

Explanation

A 5-year-old child is on the pediatric unit 6 hours post-op for a tonsillectomy. He is spitting up clear mucus and refusing to drink because his throat hurts. What should be the priority nursing action?

When obtaining a history from parents of a 4-year-old child, what indicator should prompt the nurse to consider suspected child abuse?

Which situation would be appropriate to refer to the hospital ethics committee?

A second grader enters the school nurse's office crying and states, "I feel sick. My tummy hurts." The nurse replies, "I'll call your mommy or daddy to come pick you up." The child replies, "I don't have a mommy. I have two daddies." Which of the following comments by the nurse is appropriate?

Over half of all violent offenders in prison were physically or sexually abused as children.

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?

A 15-month-old toddler is admitted with pneumonia and is started on PO Amoxicillin. The child weighs 11 kg. The safe dose range is 20-40 mg/kg/day. Which dose is safe?