A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?
Productive cough, rales
Fever, general malaise
Stridor, suprasternal retractions
Nonproductive cough, wheezing
The Correct Answer is D
A. Productive cough, rales
A productive cough with rales (crackling or bubbling sounds in the lungs) is more indicative of conditions like pneumonia or bronchitis, not necessarily asthma.
B. Fever, general malaise
Fever and general malaise are more consistent with infections and not specific to asthma.
C. Stridor, suprasternal retractions
Stridor (high-pitched sound during breathing) and suprasternal retractions (visible sinking of the area just above the breastbone during inhalation) can be associated with upper airway obstruction but are not typical findings in asthma.
D. Nonproductive cough, wheezing
Asthma often presents with a nonproductive cough and wheezing. Wheezing is a common characteristic of asthma due to narrowed airways.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Child Abuse
While the presence of welts might be concerning, it is essential for the nurse to consider cultural practices before labeling the situation as child abuse. In this case, the coin rubbing is described as a cultural practice rather than an abusive act.
B. A cultural practice to rid the body of disease.
This is the correct choice. Coin rubbing, or "coining," is a cultural practice in some traditions, including Vietnamese culture. It is believed to have therapeutic benefits and is used to address health concerns.
C. A child discipline measure common in Asian cultures.
The scenario does not provide evidence that the coin rubbing is a form of discipline. It seems to be described as a traditional health practice rather than a disciplinary measure.
D. A cultural practice to treat temper tantrums.
The scenario does not indicate that the coin rubbing is related to treating temper tantrums. It appears to be described as a health-related cultural practice rather than a disciplinary measure.
Correct Answer is B
Explanation
A. Educate the child to avoid triggers.
While avoiding triggers is important for long-term asthma management, it may not address the immediate symptoms of coughing and wheezing.
B. Administer albuterol
Administering albuterol is a common and effective rescue treatment for asthma symptoms like coughing and wheezing. This can provide quick relief.
C. Transport the child to the emergency department.
This is a drastic step and may not be necessary unless the child's symptoms are severe and not responding to initial interventions.
D. Assess the child's peak expiratory flow and compare it to the Asthma Action plan.
Assessing peak expiratory flow and comparing it to the Asthma Action plan is a good practice. However, it might take time, and immediate relief is also crucial.
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