A 9-year-old patient is admitted to the pediatric unit with a diagnosis of status asthmaticus. Upon entering the hospital room, the nurse observes that the child is sitting and leaning forward on an overbed table. The patient's SpO2 is 93%. The nurse should take which action next?

Allow the patient to remain in the chosen position.

Place the patient in semi-Fowler's.

Administer 100% oxygen via a face mask.

Encourage consumption of cool, clear fluids.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Allowing the patient to remain in the chosen position is inappropriate as the patient's position indicates distress. This choice should not be chosen.

Choice B rationale:

Placing the patient in semi-Fowler's position is the correct action. This position optimizes lung expansion and promotes easier breathing, which is crucial in managing status asthmaticus.

Choice C rationale:

Administering 100% oxygen via a face mask might be necessary eventually, but optimizing positioning takes precedence. Semi-Fowler's position should be established first.

Choice D rationale:

Encouraging consumption of cool, clear fluids is not the immediate priority in managing status asthmaticus. Respiratory support and positioning are more crucial.

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Correct Answer is A

Explanation

"I will take the enzymes with all my meals and snacks.”.

Choice A rationale:

Taking pancreatic enzymes with all meals and snacks is the correct approach. Pancreatic enzymes are essential for aiding digestion and should be taken whenever food is consumed to ensure proper nutrient absorption.

Choice B rationale:

Taking enzymes only with meals is insufficient. Snacks also require enzyme supplementation for effective digestion.

Choice C rationale:

Waiting for complications before taking enzymes is incorrect. Enzymes are necessary for every meal and snack to prevent malabsorption and digestive issues.

Choice D rationale:

Taking enzymes at night before bed is not recommended. Enzymes are needed when food is present in the stomach, which typically occurs during meals and snacks, not before bedtime.

A. Polyarthritis. B. Carditis. C. Janeway lesions. D. Subcutaneous nodules. E. Cervical lymphadenopathy.

Correct Answer is B

Explanation

Choice A rationale:

Polyarthritis is a manifestation of rheumatic fever, but it is not the primary manifestation. The main manifestation is carditis, involving inflammation of the heart's valves and structures.

Choice B rationale:

Carditis is a hallmark manifestation of rheumatic fever. It involves inflammation of the heart's valves and structures, leading to murmurs and potential long-term cardiac damage.

Choice C rationale:

Janeway lesions are not associated with rheumatic fever. They are painless, small erythematous or hemorrhagic macules on the palms and soles, typically seen in infective endocarditis.

Choice D rationale:

Subcutaneous nodules are not a primary manifestation of rheumatic fever. These nodules, which are firm and nontender, may develop over bony prominences in cases of severe rheumatic fever.

Choice E rationale:

Cervical lymphadenopathy is not a characteristic manifestation of rheumatic fever. This type of lymphadenopathy is more commonly seen in infections or lymphatic malignancies.

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A 9-year-old patient is admitted to the pediatric unit with a diagnosis of status asthmaticus. Upon entering the hospital room, the nurse observes that the child is sitting and leaning forward on an overbed table. The patient's SpO2 is 93%. The nurse should take which action next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

Correct Answer is A

Explanation

A nurse would expect a client with rheumatic fever to have which manifestations on assessment?

Correct Answer is B

Explanation

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