A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following medications should the nurse administer first?
Heliox via inhalation
Albuterol via nebulizer
Prednisone by mouth
0.9% sodium chloride via IV bolus
The Correct Answer is B
Rationale:
A) Heliox may be used in the management of severe asthma exacerbations, but albuterol via nebulizer is typically administered first for rapid bronchodilation.
B) Albuterol is a short-acting beta agonist bronchodilator used as the first-line treatment in acute asthma exacerbations to relieve bronchospasm and improve airflow.
C) Prednisone, an oral corticosteroid, may be indicated in the treatment of status asthmaticus, but it is not the first medication administered.
D) 0.9% sodium chloride via IV bolus is not indicated as the initial treatment for status asthmaticus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Montelukast is a leukotriene receptor antagonist that helps prevent bronchospasms by reducing inflammation in the airways.
B) Montelukast is not a corticosteroid; it works through a different mechanism to control asthma symptoms.
C) Montelukast is not used for acute asthma attacks; it is used for long-term management and prevention of asthma symptoms.
D) Montelukast can be taken once daily, typically in the evening, and does not necessarily need to be taken first thing in the morning.
Correct Answer is A
Explanation
Rationale:
A) Asking the child to cough deeply can help bring up sputum for sampling.
B) Asking the child to clear their throat might not be effective in obtaining a sputum sample.
C) Using wall suction can be invasive and unnecessary for obtaining a sputum sample.
D) Using a bulb syringe to obtain sputum from the child's mouth might not be effective for obtaining a sputum sample from the lower respiratory tract.
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