A nurse is caring for an 11-year-old client who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Budesonide

Albuterol

Fluticasone

Montelukast

Answer and Explanation

The Correct Answer is B

A.   Budesonide is an inhaled corticosteroid used for long-term asthma control and is not appropriate for immediate relief during an acute asthma attack.
B.   Albuterol is a short-acting beta-agonist (SABA) and is the first-line medication for quickly relieving bronchospasm during an acute asthma attack.
C.   Fluticasone is an inhaled corticosteroid, which is used for long-term asthma control but not for rapid relief during an acute episode.
D.   Montelukast is a leukotriene receptor antagonist, used for long-term asthma control, and would not be effective for immediate relief during an acute attack.

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Correct Answer is ["C","D"]

Explanation

A. Allowing the child to rub their eyes is not recommended as it can spread the infection and increase irritation. The child should be instructed not to rub their eyes.
B. Using eye drops from a previous infection is not advisable because the medication may be outdated or ineffective. A new prescription should be obtained for the current infection.
C. Applying warm compresses to the affected eye can help alleviate discomfort and promote healing by loosening secretions. This is a helpful intervention.
D. Practicing good hand hygiene before and after touching the affected eye is essential to prevent the spread of the infection and to avoid contaminating other areas.
E. Sharing towels and washcloths can spread the infection to other family members, so these items should not be shared until the infection has resolved.

A. Take the child to the provider's office B. Give the child 60 mL of syrup of ipecac C. Contact poison control D. Provide a high carbohydrate meal to the child

Correct Answer is C

Explanation

A. While taking the child to the provider’s office may be necessary, contacting poison control is the most
immediate and appropriate action when a child ingests a toxic substance.
B. Syrup of ipecac is no longer recommended for use in poisoning cases due to potential complications and ineffectiveness.
C. Poison control should be contacted immediately as they can provide specific instructions on how to manage the situation based on the substance ingested.
D. A high carbohydrate meal is not an appropriate intervention in the case of poisoning, and it may delay treatment or worsen symptoms.

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A nurse is caring for an 11-year-old client who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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