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 C

Explanation

Choice A reason: Hyperactivity is not typically associated with chronic renal failure in children. Instead, children may experience fatigue and lethargy due to anemia and the overall decreased function of the kidneys.

Choice B reason: Weight gain can occur in chronic renal failure due to fluid retention; however, it is not as characteristic as delayed growth, which is a direct result of the disease's impact on the child's development.

Choice C reason: Delayed growth is a common finding in children with chronic renal failure due to various factors, including metabolic imbalances, bone disorders, and malnutrition, all of which can impede normal growth.

Choice D reason: A flushed face is not a typical finding in chronic renal failure. More common are signs related to fluid overload, such as swelling around the eyes, feet, and ankles, and symptoms of uremia like pallor.

A. Platelet count 200,000/mm B. Hematocrit (Hct) 40% C. Blood protein 5.0 g/dL D. Hemoglobin (Hgb) 14.5 g/dL

Correct Answer is C

Explanation

Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.

Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.

Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.

Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.

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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 assessing a child who has chronic renal failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?

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

A nurse is planning care for a child who has a urinary tract infection (UTI). Which of the following interventions should the nurse include?

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