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 C
Explanation
A. Wait for parents to obtain consent
Waiting for parents to obtain consent might not be appropriate in emergency situations where immediate intervention is necessary. Delays could impact the outcome, and the healthcare team needs to prioritize the well-being of the patient.
B. Give pain medications until consent can be obtained
Administering pain medications alone might provide temporary relief but does not address the underlying issue requiring emergency surgery. It's important to address the root cause promptly, especially if surgery is deemed necessary.
C. Have the youth give assent, and proceed with surgery
This option is appropriate when dealing with a mature minor who can understand the nature, risks, and benefits of the surgery. Assent from the youth is sought in conjunction with attempts to contact parents. It is an ethical and legal approach in emergency situations.
D. Attempt to contact another relative
Attempting to contact another relative might be a consideration, but it could introduce additional delays. If the situation is urgent and the youth can provide informed assent, proceeding with surgery while continuing efforts to contact parents is a reasonable approach.
Correct Answer is B
Explanation
A. She returns the blocks to the same spot on the table.
This behavior is more related to a sense of order or routine rather than object permanence. It doesn't directly demonstrate understanding object permanence.
B. She looks for the toy the parents hide under the blanket.
This behavior is consistent with the concept of object permanence. If the child searches for a hidden toy, it indicates an understanding that the object still exists even when out of sight.
C. She bangs two cubes held in her hands.
Banging cubes is not directly related to object permanence. It might demonstrate exploration or cause-and-effect understanding, but it doesn't specifically indicate object permanence.
D. She recognizes that a ball of clay is the same when flattened out.
This behavior demonstrates an understanding of conservation, which is different from object permanence. Conservation involves recognizing that the quantity of a substance remains the same despite changes in shape.
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