A nurse cares for a school-age child with mild, persistent asthma. Which of the following is an expected finding? (Select all that apply.)
Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
Daytime symptoms occur more than twice a week.
Nighttime symptoms occur approximately twice a month.
Minor limitations occur with normal activity
Symptoms are continuous throughout the day
Correct Answer : A,B,D
A. In mild persistent asthma, PEF is typically ≥80% of the predicted value, indicating relatively good lung function.
B. Daytime symptoms occur more than twice a week but not daily in mild persistent asthma.
C. Nighttime symptoms in mild persistent asthma occur more than twice a month (often 3–4 times per month), not just twice a month.
D. There are minor limitations in normal activity with mild persistent asthma.
E. Continuous symptoms throughout the day characterize moderate or severe persistent asthma, not mild persistent asthma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A humidifier can help keep secretions moist and reduce discomfort, but it does not prevent aspiration and is not a priority in the immediate postoperative period.
B. Suctioning the nasopharynx should be done with caution after a tonsillectomy, as it can irritate the surgical site and cause bleeding; it is not a routine action to prevent aspiration.
C. Chest physiotherapy is not appropriate in the immediate postoperative period following a tonsillectomy and could increase the risk of bleeding.
D. After a tonsillectomy, the nurse should withhold oral fluids until the child is fully awake and has a demonstrated gag reflex, which helps ensure that the airway is protected and reduces the risk of aspiration.
Correct Answer is C
Explanation
A. Children with Down syndrome typically exhibit short stature, not excessive height.
B. While children with Down syndrome may have a single transverse palmar crease, not "spots on the palms," this is not the most defining physical feature.
C. One of the hallmark physical characteristics of Down syndrome is hypotonia (low muscle tone). It often leads to delayed motor development, poor head control, and floppy posture in infancy.
D. Children with Down syndrome are more likely to have hyperflexible joints due to ligamentous laxity, not inflexibility.
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