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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Hyperactivity is not typically associated with a postictal state after a seizure.
Instead, the child may appear lethargic or drowsy.
B) Nystagmus, or rapid, involuntary eye movements, is not typically seen in the postictal state following a seizure.
C) Apnea, or cessation of breathing, may occur during the seizure itself but is not typically a postictal finding.
D) Amnesia, or memory loss, is a common postictal finding after a seizure, particularly in complex partial seizures or psychomotor seizures.
Correct Answer is D
Explanation
Rationale:
A. Skin turgor assessment is important in assessing dehydration, but the priority is addressing the tachycardia first.
B. Potassium level is important in managing electrolyte imbalance in gastroenteritis, but the priority is addressing the elevated heart rate first.
C. Capillary refill is an important assessment for circulation, but the priority is addressing the elevated heart rate first.
D. The elevated heart rate (tachycardia) indicates increased workload on the heart, likely due to dehydration or other complications of gastroenteritis. This requires immediate attention to stabilize the infant's condition.
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