A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Administer dornase alfa daily.

Place the child in an upright position.

Administer bronchodilators.

Perform chest percussion.

Monitor oxygen saturation.

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Dornase alfa is used to break down mucus and is beneficial for children with cystic fibrosis, not typically prescribed for asthma.

Choice B reason: Placing a child in an upright position can help ease breathing during an asthma attack by reducing pressure on the diaphragm.

Choice C reason: Bronchodilators are medications that help open the airways and are a mainstay in the treatment of asthma.

Choice D reason: Chest percussion can help loosen mucus in the lungs; however, it is not commonly used in the routine management of asthma.

Choice E reason: Monitoring oxygen saturation is crucial in assessing the severity of an asthma attack and determining the effectiveness of treatment.

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Correct Answer is B

Explanation

Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.

Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.

Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.

Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.

A. "The client meets the criteria for the chronic asymptomatic HIV infection phase." B. "The client has developed Acquired Immunodeficiency Syndrome (AIDS)." C. "The client's CD4+ T-cell count is within the normal range." D. "The client meets the criteria for the acute HIV infection phase."

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.

Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.

Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.

Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.

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A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a child who has a terminal illness and reviews palliative care with assistive personnel (AP). Which of the following statements by the AP indicates an understanding of this review?

A nurse is teaching a parent of a child who has a urinary tract infection (UTI). Which of the following should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a male infant who has epispadias. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)

A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply)

A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?