A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)

Oxygen saturation 95%

Warm extremities

Wheezing

Nasal flaring

Retraction of sternal muscles

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: An oxygen saturation of 95% is within the normal range and does not indicate respiratory deterioration.

Choice B reason: Warm extremities are not an indication of respiratory status deterioration; they are generally a sign of good circulation.

Choice C reason: Wheezing is a common sign of airway obstruction in asthma and can indicate a deterioration in respiratory status.

Choice D reason: Nasal flaring is a sign of increased work of breathing and can indicate respiratory distress in a child with asthma.

Choice E reason: Retraction of sternal muscles is a sign of respiratory distress and can indicate a worsening condition in a child with asthma.

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Correct Answer is B

Explanation

Choice A reason: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.

Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.

Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.

Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.

A. Albuterol B. Prednisone C. Montelukast D. Fluticasone/salmeterol

Correct Answer is A

Explanation

Choice A reason: Albuterol is a short-acting beta-2 agonist that is used as a quick-relief medication to prevent exercise-induced bronchoconstriction.

Choice B reason: Prednisone is a corticosteroid used for long-term control, not for immediate relief before exercise.

Choice C reason: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not typically for immediate pre-exercise use.

Choice D reason: Fluticasone/salmeterol is a combination of a corticosteroid and a long-acting beta-2 agonist, used for long-term control, not for quick relief before exercise.

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A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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