A nurse is caring for a child who is experiencing status asthmaticus.
Which of the following interventions is the priority for the nurse to take?
Obtain a peak flow reading.
Administer an inhaled glucocorticoid.
Determine the cause of the acute exacerbation.
Administer a short-acting B2-agonist (SABA).
The Correct Answer is D
Choice A rationale
Obtaining a peak flow reading provides information about the severity of asthma, but it is not the immediate priority during an acute exacerbation.
Choice B rationale
Administering an inhaled glucocorticoid can help in managing inflammation, but it takes time to work and is not the immediate priority.
Choice C rationale
Determining the cause of the acute exacerbation is important for long-term management but is not the immediate priority.
Choice D rationale
Administering a short-acting B2-agonist (SABA) is the priority because it provides rapid bronchodilation, helping to alleviate the airway obstruction quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Moon face is a characteristic feature of Cushing’s syndrome, caused by fat deposition around the face due to increased cortisol levels.
Choice B rationale
Buffalo hump, or the accumulation of fat on the upper back, is another hallmark of Cushing’s syndrome, resulting from prolonged exposure to high cortisol levels.
Choice C rationale
Purple striations, or stretch marks, commonly appear on the abdomen, thighs, and breasts in Cushing’s syndrome, due to skin thinning and weakening from excess cortisol.
Choice D rationale
Hypertension is a common manifestation of Cushing’s syndrome because cortisol increases blood pressure through various mechanisms, including increased sensitivity to catecholamines. .
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Hypertension is not a typical manifestation of sepsis; sepsis usually involves hypotension.
Choice B rationale
Hypoglycemia is not a common manifestation of sepsis; hyperglycemia is more typical.
Choice C rationale
Altered mental status can occur due to the systemic inflammation and infection affecting the brain.
Choice D rationale
An elevated WBC count indicates an immune response to infection, which is a common sign of sepsis.
Choice E rationale
Vomiting can occur due to the body's response to the infection and systemic inflammation.
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