A nurse is reinforcing teaching with the guardian of a school-age child who has asthma.Which of the following instructions should the nurse include in the teaching?
Avoid allowing your child to participate in school sports.
Have your child inhale deeply and quickly when using the peak flow meter.
Obtain a pneumococcal immunization for your child.
Use salmeterol to manage your child's acute exacerbations.
The Correct Answer is C
Choice A rationale
Avoiding participation in school sports is not recommended for children with asthma. Regular physical activity is important for overall health, and with proper management, children with asthma can safely engage in sports. Exercise-induced asthma can be controlled with pre-exercise medication and an asthma action plan, allowing children to remain active without exacerbating their condition.
Choice B rationale
The correct technique for using a peak flow meter involves inhaling deeply and then exhaling quickly and forcefully, not inhaling deeply and quickly. This instruction is incorrect and could lead to improper use of the device, affecting the accuracy of peak flow measurements. Accurate use of the peak flow meter is essential for monitoring asthma control.
Choice C rationale
Pneumococcal immunization is recommended for children with asthma because they are at an increased risk of respiratory infections, which can trigger asthma exacerbations. The vaccine helps protect against pneumococcal bacteria, reducing the likelihood of serious respiratory complications and supporting overall asthma management.
Choice D rationale
Salmeterol is a long-acting beta-agonist used for the maintenance treatment of asthma. It is not intended for managing acute exacerbations. For acute asthma attacks, short-acting bronchodilators such as albuterol are recommended to provide quick relief of symptoms. Using salmeterol for acute exacerbations could result in inadequate asthma control.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
The Human papillomavirus (HPV) vaccine is recommended for children starting at age 11 to protect against infections that can lead to cancers, such as cervical cancer, later in life. This vaccine is vital for preventing serious health conditions caused by the HPV virus.
Choice B rationale
The Rotavirus vaccine is generally given to infants younger than 8 months and is not recommended for children 11 years old. It protects against severe diarrhea caused by rotavirus, which is particularly dangerous for very young children.
Choice C rationale
The Hepatitis A vaccine is usually administered to children at ages 1 and 2 years old. Hepatitis A is a liver disease caused by the hepatitis A virus, and vaccination at a younger age helps build immunity early in life.
Choice D rationale
The Meningococcal vaccine is recommended for preteens at age 11 to protect against meningitis and bloodstream infections caused by Neisseria meningitidis bacteria. This vaccine is crucial for preventing potentially deadly meningococcal disease. .
Correct Answer is A
Explanation
Choice A rationale
Delivering back blows with the infant face down over the rescuer's arm is the appropriate first aid response to an infant choking. This method uses gravity and force to help dislodge the object from the infant's airway, providing a swift and effective means to clear the obstruction and prevent further complications from lack of oxygen.
Choice B rationale
Moving the infant into an upright position and suctioning the airway with a bulb syringe is not suitable for an acute choking situation. Suctioning is more appropriate for clearing mucus or fluids, not solid objects blocking the airway, and it could delay necessary intervention.
Choice C rationale
Performing a head tilt and a chin lift with rescue breaths is typically used in CPR for unresponsive infants, not choking. Administering rescue breaths on a choking infant may force the object further into the airway, worsening the blockage.
Choice D rationale
Placing the infant in a side-lying position and performing abdominal thrusts is not recommended for infants under one year old. Abdominal thrusts can cause injury to the internal organs. The appropriate technique is back blows and chest thrusts for infants.
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