A nurse is assessing a 12-year-old child who has asthma and states, "I am frustrated about not being able to participate in sports." Which of the following responses should the nurse make?

"You should consider finding other hobbies to participate in instead of sports."

"You shouldn't feel frustrated, because you can find other options for exercise."

"You will be able to exercise if you use your peak expiratory flow meter twice per day."

"You can participate in sports if you use your rescue inhaler before practice or games."

Answer and Explanation

The Correct Answer is D

A. "You should consider finding other hobbies to participate in instead of sports." Avoiding sports altogether is not necessary for children with asthma. Many children with well-managed asthma can safely participate in sports with proper precautions.

B. "You shouldn't feel frustrated, because you can find other options for exercise." This response dismisses the child's feelings instead of acknowledging them and providing a solution.

C. "You will be able to exercise if you use your peak expiratory flow meter twice per day." While monitoring peak expiratory flow (PEF) is important for asthma management, it does not directly enable participation in sports.

D. "You can participate in sports if you use your rescue inhaler before practice or games." Using a short-acting bronchodilator (such as albuterol) before exercise is a common strategy to prevent exercise-induced bronchoconstriction, allowing children with asthma to safely participate in sports.

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Correct Answer is A

Explanation

A. "Lifts head 45° when lying prone." By 2 months of age, infants begin lifting their heads about 45 degrees while on their stomachs, which is an early sign of developing neck and upper body strength.
B. "Rolls over from back to abdomen." Rolling from back to abdomen typically occurs around 6 months of age.
C. "No head lag when pulled into a sitting position." Head lag is still present at 2 months, but it gradually disappears by 4 months as neck muscles strengthen.
D. "Rolls over from abdomen to back." Rolling from abdomen to back typically occurs around 4 months of age, followed by rolling from back to abdomen at about 6 months.

A. Encourage the adolescent to wait to ask questions about the device until after its insertion. B. Call the adolescent's guardian to obtain verbal consent prior to the procedure. C. Reschedule the procedure until the client's guardian provides written consent. D. Witness the adolescent's signature on the consent form.

Correct Answer is D

Explanation

A. "Encourage the adolescent to wait to ask questions about the device until after its insertion." The adolescent should be encouraged to ask questions before the procedure to ensure informed consent and understanding.

B. "Call the adolescent's guardian to obtain verbal consent prior to the procedure." In many areas, adolescents can provide consent for reproductive health services, including contraception, without parental consent.

C. "Reschedule the procedure until the client's guardian provides written consent." Most states and healthcare policies allow minors to consent to birth control procedures without requiring parental involvement.

D. "Witness the adolescent's signature on the consent form." The nurse should witness and document the adolescent’s informed consent, as they have the right to make decisions regarding their reproductive health.

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A nurse is assessing a 12-year-old child who has asthma and states, "I am frustrated about not being able to participate in sports." Which of the following responses should the nurse make?

Nursing Test Bank

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