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 C
Explanation
Rationale:
A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.
B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.
C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.
D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.
Correct Answer is A
Explanation
Rationale:
A) The nurse should use a 5 French urinary catheter for the 13-month-old toddler.
This is because the size of the catheter should be appropriate for the age and weight
of the child, and a smaller catheter will cause less trauma and discomfort to the urethra.
B) A 12 French catheter might be too large and could cause trauma to the urethra in a 13-month-old toddler.
C) A 10 French catheter might be too large and could cause trauma to the urethra in a 13-month-old toddler.
D) A 14 French catheter is larger and may be too invasive for a 13-month-old toddler.
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