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A nurse cares for a school-age child with mild, persistent asthma. Which of the following is an expected finding? (Select all that apply.)

A.

Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.

B.

Daytime symptoms occur more than twice a week.

C.

Nighttime symptoms occur approximately twice a month.

D.

Minor limitations occur with normal activity

E.

Symptoms are continuous throughout the day

Answer and Explanation

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.


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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 D

Explanation

A. Captopril is an ACE inhibitor, not a diuretic. It is used to treat hypertension and heart failure by lowering blood pressure and reducing afterload.
B. Spironolactone is a potassium-sparing diuretic, meaning it helps the body eliminate fluid without causing potassium loss.
C. Chlorothiazide is a thiazide diuretic and can cause some potassium loss, but it is generally less potent than loop diuretics like furosemide.
D. Furosemide (Lasix/LSK) is a loop diuretic and a non–potassium-sparing diuretic. It is commonly used in children with cardiac conditions to reduce fluid overload but requires careful monitoring of electrolytes, especially potassium, due to the risk of hypokalemia.

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