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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"C"}}
Explanation
- Jitteriness: Jitteriness can be seen in hypoglycemia (due to low blood sugar), neonatal sepsis (which causes systemic effects including jitteriness), and neonatal abstinence syndrome (due to withdrawal from maternal substances).
- Poor feeding: Poor feeding is consistent with hypoglycemia (due to low energy reserves), neonatal sepsis (due to general ill-health), and neonatal abstinence syndrome (as a withdrawal symptom).
- Petechiae on the chest: Petechiae is a sign of neonatal sepsis, which can result from bacterial infections or other causes affecting the clotting system. It is not typically seen in hypoglycemia, neonatal abstinence syndrome, or hyperbilirubinemia.
- Blood glucose 35 mg/dL: This is a hallmark sign of hypoglycemia, indicating a dangerously low level of glucose in the blood.
- High-pitched cry: A high-pitched cry is a classic symptom of neonatal abstinence syndrome, often seen in infants withdrawing from opioids or other substances. It is not a typical sign of hypoglycemia, neonatal sepsis, or hyperbilirubinemia.
Correct Answer is B
Explanation
Choice A rationale
Leaving the television on during the night may cause overstimulation in children with autism, disrupting their sleep patterns and leading to increased anxiety and agitation.
Choice B rationale
Minimizing physical contact respects the sensory sensitivities common in children with autism. Overwhelming sensory input from physical contact can cause distress and exacerbate behavioral issues.
Choice C rationale
Placing the child in a semi-private room can increase the risk of sensory overload and potential conflicts with roommates, as children with autism often struggle with shared spaces and the presence of unfamiliar people.
Choice D rationale
Forcing eye contact, especially when the child is agitated, can be distressing for children with autism. It may increase their agitation and make it harder for them to cope with their emotions and surroundings.
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