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A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event.
The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?

Provide information on child development to the caregiver on when a child should be able to use an inhaler without supervision.

Provide the child with a pamphlet on how to use an inhaler,

Teach the child how to use the inhaler.

Refer the caregiver to the asthma educator.

Ask the caregiver, "what worries you about your child?"

Answer and Explanation

Correct Answer : A,C,D,E

A. Providing information on child development helps the caregiver set realistic expectations about when a child is developmentally ready to self-administer medications independently.
B. Giving a pamphlet to a 5-year-old is not effective, since children at this age typically cannot read or fully comprehend instructions.
C. Teaching the child how to use the inhaler supports skill-building and fosters independence while still requiring supervision.
D. Referring the caregiver to an asthma educator ensures they receive specialized guidance for ongoing asthma management.
E. Asking the caregiver about their worries encourages open communication, strengthens trust, and allows the nurse to address specific concerns.

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Correct Answer is B

Explanation

- A. Administer oxygen via face mask.
- Administering oxygen can be beneficial as it increases maternal oxygenation, which can improve fetal oxygenation. However, it is not the first-line action for late decelerations.Late decelerations are a sign of uteroplacental insufficiency, and while oxygen helps, repositioning the mother is more critical to address the root cause. Oxygen administration is a supportive measure but does not directly address the potential compression of the umbilical cord or placental perfusion issues.

- B. Position the client on her side.
Positioning the client on her side, specifically the left side, can improve uteroplacental circulation, addressing the cause of late decelerations.This position helps to relieve pressure on the inferior vena cava, enhancing blood flow to the placenta and fetus.It is a non-invasive, immediate intervention that can potentially correct the issue of late decelerations quickly.

- C. Increase the infusion rate of the IV fluid.Increasing the infusion rate of IV fluids can improve maternal blood volume, potentially improving placental perfusion.However, this action is not as immediate in effect as repositioning the client and is considered a secondary measure.It may be used in conjunction with other actions but should not be the priority intervention for late decelerations.

- D. Elevate the client's legs.
Elevating the client's legs can increase venous return to the heart, potentially improving maternal cardiac output and placental blood flow.However, this action is less effective than lateral positioning in addressing uteroplacental insufficiency.It is not the first-line response for late decelerations and may not provide the immediate correction needed.

A. Liver function tests B. Edema C. Fetal heart rate and variability D. Headache E. Epigastric discomfort F. Urine dipstick

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement.
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement.
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.

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A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 36 weeks of gestation. Exhibits For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

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A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event.
The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?