A nurse is providing education to a school-age child with a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
"Carry a rescue inhaler with you at all times."
"Use the peak expiratory flow meter once per week."
"Take cromolyn sodium at the first sign of breathing difficulty."
"You should stop playing basketball, but you can swim instead."
The Correct Answer is A
A. Carrying a rescue inhaler at all times is essential for managing asthma attacks and ensuring that relief is available in case of sudden symptoms.
B. The peak expiratory flow meter should be used more frequently than once per week, especially during symptom flare-ups, to monitor asthma control.
C. Cromolyn sodium is a preventive medication and should not be used as a rescue medication during an asthma attack.
D. Physical activity, including basketball, can generally be continued if the child’s asthma is well- controlled, and stopping exercise is not recommended unless symptoms are triggered.
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Related Questions
Correct Answer is C
Explanation
A. Assessing vital signs, including temperature and oxygen saturation, is appropriate for monitoring the child's condition and identifying any signs of respiratory distress or infection.
B. Gathering necessary supplies for possible intubation is a proactive measure in case the child experiences airway obstruction. Acute epiglottitis can lead to rapid deterioration in the child's airway.
C. Assessing the child's throat using a tongue blade can trigger airway obstruction in a child with acute epiglottitis, which is a medical emergency. The throat should not be examined visually due to the risk of causing a spasm or obstruction.
D. Reporting an elevated white blood count is a normal part of managing acute infections, such as epiglottitis, and should be done to inform the healthcare provider of the patient's condition.
Correct Answer is A
Explanation
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
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