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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Medication should not be cool as it can cause discomfort or even reflexive actions like vomiting or vertigo. It should be at room temperature⁷.
Choice B reason: Hyperextending the infant's neck is not necessary and could be uncomfortable or unsafe. The position should be natural and comfortable⁷.
Choice C reason: Pulling the pinna downward and straight back is the correct method for infants to straighten the ear canal for proper administration of otic medication⁷.
Choice D reason: Holding the infant in an upright position is not ideal for otic medication administration. The infant should be lying down or sitting with the affected ear facing up⁷.
Correct Answer is D
Explanation
Choice A reason: Suggesting that a hospital representative attend the funeral is not typically within the scope of the nurse's role and may not be appropriate in all situations.
Choice B reason: Developing a professional support system can help nurses cope with the emotional demands of caring for dying children and prevent burnout.
Choice C reason: Demonstrating feelings of sympathy toward the family can provide comfort and support during a difficult time, which is an important aspect of nursing care.
Choice D reason: Taking time off from work can help nurses manage stress and grief, allowing them to maintain their well-being and professional effectiveness.
Choice E reason: Remaining in contact with the family after their loss can provide ongoing support and is a compassionate gesture that can help families cope with their grief.
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