The nurse is caring for a school-age child presenting to the emergency department with frequent productive coughing, chest tightness, and shortness of breath. Significant inspiratory and expiratory wheezing is auscultated bilaterally. Which finding should the nurse expect after administering a prescribed dose of albuterol?

Use of accessory muscles.

Non-productive coughing.

Increased Paco, level.

Slight expiratory wheezing

Answer and Explanation

The Correct Answer is D

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Correct Answer is C

Explanation

A.While non-pharmacologic strategies are important for pain management, they are typically introduced after initial assessment and understanding of the client's pain experience. In this case, the priority is to clarify the apparent discrepancy between the reported pain level and observed behavior.

B.Respecting the client's privacy and providing time for personal activities like phone calls is important but does not directly address the concern of incongruent pain assessment and behavior.

C.Incongruence between reported pain intensity (10/10) and observed behavior (laughing on the phone) suggests a potential discrepancy that needs to be documented and further investigated. This documentation is crucial for accurate assessment and communication among the healthcare team.

D.Administering pain medication immediately without further assessment may not be appropriate if there is uncertainty about the accuracy of the pain report. It's important to first clarify and validate the client's pain experience before proceeding with medication administration.

A. Release fluid from the lesions. B. Wash hands frequently. C. Monitor for itching and scratching. D. Treatment will include antibiotics.

Correct Answer is A

No explanation

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Naxlex Comprehensive Predictor Exams

An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?

Correct Answer is C

Explanation

A school-age child is diagnosed with impetigo. During discharge teaching, which statement made by the caregiver should indicate to the nurse that additional education is needed?

Correct Answer is A

A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at a previous well-baby visit was 11 kg. Which percentage of body weight loss for this infant should the nurse document in the electronic medical record?

The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?

An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?

The nurse is providing education to a new parent on the potential causes of developmental dysplasia of the hip and recommendations to decrease the incidence in infants. Which statement made by the parent should the nurse recognize as understanding the education?

Which toy is best for a 10-year-old child with acute rheumatic fever who is on strict bedrest?

A 15-year-old girl asks the clinic nurse for information about oral contraceptives because she is planning to have sexual relations with her 17- year-old boyfriend but does not want her parents to know. Which action should the nurse take?