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 D
Explanation
Choice A rationale
Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.
Choice B rationale
Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.
Choice C rationale
Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.
Choice D rationale
Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.
Correct Answer is B
Explanation
Choice A rationale
Respiratory alkalosis involves low carbon dioxide levels, which is not typical in COPD exacerbations.
Choice B rationale
Respiratory acidosis occurs due to impaired gas exchange and carbon dioxide retention in COPD.
Choice C rationale
Metabolic acidosis results from renal or metabolic issues, not primarily respiratory issues like in COPD.
Choice D rationale
Metabolic alkalosis involves high bicarbonate levels and is not typically associated with COPD exacerbations. .
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