A 5 year old child with asthma is ordered Albuterol. The nurse knows that the primary action of Albuterol is to:

decrease inflammation in the bronchioles to open up the airway

relax bronchial smooth muscles to decrease bronchospasm

slow the respiratory rate to improve oxygenation

decrease mucus production in the bronchioles to improve aeration

Answer and Explanation

The Correct Answer is B

A. Decrease inflammation in the bronchioles to open up the airway:

This is more characteristic of corticosteroids, which are anti-inflammatory medications. Albuterol primarily acts as a bronchodilator, not an anti-inflammatory.

B. Relax bronchial smooth muscles to decrease bronchospasm:

This is the correct answer. Albuterol is a beta-2 adrenergic agonist that acts on bronchial smooth muscles, causing them to relax and reducing bronchospasm.

C. Slow the respiratory rate to improve oxygenation:

Albuterol is not typically associated with slowing the respiratory rate. Instead, it works by dilating the airways.

D. Decrease mucus production in the bronchioles to improve aeration:

Albuterol primarily addresses bronchospasm, and while it may indirectly help with mucus clearance, reducing mucus production is not its primary action.

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Correct Answer is A

Explanation

A. Use self/parent report, behavioral, and physiological factors

This choice emphasizes a comprehensive approach to pain assessment, considering self-report if the child can communicate, parent report for younger children or those unable to express themselves verbally, and a combination of behavioral and physiological factors. This approach recognizes the multidimensional nature of pain and aims to gather information from various sources for a more accurate assessment.

B. Ask the parents for a pain rating

While parents' input is valuable, relying solely on parental perception may not capture the full picture of the child's pain experience. It's important to consider other aspects, including the child's self-report (if possible) and behavioral and physiological factors.

C. Look for behavioral clues for pain such as crying

Behavioral observation is a crucial component of pain assessment. However, relying solely on crying may overlook subtle cues or variations in how different children express pain. A more comprehensive approach involves considering various behavioral indicators.

D. Use measures of heart rate and respiratory rate

Physiological measures, such as heart rate and respiratory rate, can provide additional information but should not be used in isolation. Physiological responses can vary, and other dimensions of pain assessment, including self-report and behavioral observations, should be considered for a more complete understanding.

A. Ask a Buddhist priest to visit. B. Explain that hospital patients are exempt from dietary rules. C. Help the parent understand that meat provides protein needed for healing. D. Order the child a meatless tray.

Correct Answer is D

Explanation

A. Ask a Buddhist priest to visit.

While spiritual and cultural support can be beneficial, the immediate concern raised by the father is related to dietary preferences. Requesting a visit from a Buddhist priest may not directly address the issue of providing a suitable diet for the child.

B. Explain that hospital patients are exempt from dietary rules.

This approach may not be well-received, as it could be perceived as dismissive of the family's cultural and religious beliefs. It's important to respect and accommodate the family's dietary preferences whenever possible.

C. Help the parent understand that meat provides protein needed for healing.

While nutritional education is valuable, it should be presented in a way that respects the family's beliefs. It's important to acknowledge and accommodate the family's vegetarian preferences while exploring alternative sources of protein.

D. Order the child a meatless tray.

This is the most appropriate intervention in this situation. Ordering a meatless tray respects the family's dietary preferences and ensures that the child's nutritional needs are met within the context of their cultural and religious beliefs.

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A 5 year old child with asthma is ordered Albuterol. The nurse knows that the primary action of Albuterol is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a child's pain, the best approach is for the nurse to:

Correct Answer is A

Explanation

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist and vegetarians." The nurse's best intervention is to:

Correct Answer is D

Explanation

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