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).

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Bubbling in the water seal chamber with exhalation indicates that air is still being removed from the pleural space, which is expected with a pneumothorax and is not a cause for immediate concern.

Choice B rationale

Eyelets not being visible indicate that the chest tube is properly placed within the pleural space, not an urgent issue.

Choice C rationale

Movement of the trachea towards the unaffected side is a sign of tension pneumothorax, which requires immediate intervention as it can compromise respiratory function.

Choice D rationale

Crepitus in the area above and surrounding the insertion site indicates subcutaneous emphysema, which can occur but does not necessitate immediate provider notification unless severe.

A. Obtain an influenza vaccine annually. B. Inject insulin in the deltoid muscle. C. Administer glucagon for hyperglycemia. D. Take glyburide with breakfast.

Correct Answer is A

Explanation

Choice A rationale

Obtaining an influenza vaccine annually is crucial for individuals with type 1 diabetes to reduce the risk of infections that can exacerbate their condition.

Choice B rationale

Injecting insulin in the deltoid muscle is not standard practice as subcutaneous tissue in the abdomen or thigh is preferred for insulin absorption.

Choice C rationale

Administering glucagon is for hypoglycemia, not hyperglycemia; insulin or other medications manage hyperglycemia.

Choice D rationale

Taking glyburide is not suitable for type 1 diabetes as it requires insulin management. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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?