A 2-year-old child with a history of asthma is experiencing difficulty breathing, wheezing, and a persistent cough. What is the priority intervention by the nurse?
Administering a bronchodilator inhaler
Administering an antihistamine
Administering a mucolytic medication
Administering a cough suppressant
The Correct Answer is A
A. Administering a bronchodilator inhaler, such as albuterol, is the priority intervention for a child with asthma experiencing difficulty breathing, wheezing, and coughing.
B. Antihistamines are not the primary treatment for acute asthma exacerbations.
C. Mucolytic medications can help thin mucus but are not the first-line treatment for acute asthma symptoms.
D. Cough suppressants are not recommended for children with asthma as they can worsen respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying a tourniquet is not the initial action for controlling bleeding. Direct pressure and elevation are more appropriate.
B. Applying direct pressure and elevating the leg above the level of the heart help control bleeding from the wound.
C. Cleaning the wound with alcohol can wait until after bleeding is controlled. Direct pressure and elevation are the immediate priorities.
D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.
Correct Answer is C
Explanation
A. Febrile seizure presents with sudden convulsions and fever in children and does not cause pale, lethargic symptoms with chest pain and tachycardia.
B. Hypoglycemia can cause weakness and altered mental status, but it does not typically present with chest pain, tachycardia, and weak pulses.
C. Cardiogenic shock, often seen in children with heart disease, can present with pale, lethargic appearance, chest pain, tachycardia, and weak pulses due to poor cardiac output.
D. Foreign body aspiration can cause sudden respiratory distress and choking, but it does not present with chest pain, pale appearance, tachycardia, and weak pulses.
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