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

Answer and Explanation

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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Correct Answer is A

Explanation

Rationale:

A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.

B. While supporting the cast correctly is important, it is not the priority immediately following the application.

C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.

D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.

A. "My child should use their index finger to obtain blood samples." B. "My child should hold their finger under warm water before obtaining a sample." C. "My child should puncture the center of their finger pad when obtaining a sample." D. "My child should hold their finger against a table when obtaining a sample."

Correct Answer is B

Explanation

Rationale:

A) Using the index finger is a common site for blood glucose monitoring, but it does not specifically address minimizing pain.

B) Holding the finger under warm water can increase blood flow and make blood glucose monitoring less painful.

C) Puncturing the center of the finger pad is a common technique for obtaining a blood sample, but it does not specifically address minimizing pain.

D) Holding the finger against a table is not a recommended method for minimizing pain during blood glucose monitoring and may increase discomfort.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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