A parent brings their child, who has a history of asthma, to the emergency room. The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has labored respirations. Which assessment is most important for the nurse to obtain?
Frequency that the child uses a rescue inhaler during the week.
Type of inhaler the child typically uses on a regular basis.
Type of allergen exposure or trigger for the current episode.
Last dose and type of rescue inhaler used by the child.
The Correct Answer is D
A. Frequency that the child uses a rescue inhaler during the week: While it is important to know how often the child uses a rescue inhaler, it does not provide immediate, critical information to assess the severity of the current asthma attack.
B. Type of inhaler the child typically uses on a regular basis: While knowing the type of inhaler the child uses regularly can provide insight into their asthma management, it is not the most critical information at this moment, the current treatment is he most urgent.
C. Type of allergen exposure or trigger for the current episode: Understanding the trigger for the current asthma episode is helpful for long-term management but is not as urgent in the immediate assessment of the child’s condition during an acute exacerbation.
D. Last dose and type of rescue inhaler used by the child: This information helps assess whether the child has received appropriate treatment and whether additional or different interventions are needed immediately to address the asthma exacerbation, helps guide further treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting:While antiemetics can be helpful, this action may not address the underlying issue of food smells causing nausea. It is important to address the client’s sensory triggers.
B. Encourage family members to cook meals outdoors and bring the cooked food inside:
This can help reduce the trigger for nausea caused by the smell of cooking food. Cooking outdoors minimizes exposure to food smells, which could alleviate the client’s discomfort.
C. Assess the client's mucous membranes and report the findings to the healthcare provider: Assessing the mucous membranes is important in general care, especially for clients with cancer, but it is not directly related to the reported issue of nausea triggered by food smells.
D. Advise the client to replace cooked foods with a variety of different nutritional supplements: While nutritional supplements can be useful if the client is unable to tolerate solid foods, this advice doesn't address the root cause of the nausea related to food smells.
Correct Answer is ["5.6"]
Explanation
Rationale:
- Convert the client's weight from pounds (lb) to kilograms (kg).
Weight in kg = 132 lb / 2.2 lb/kg
= 60 kg.
- Calculate the desired dose per minute in micrograms (mcg).
Desired dose per minute (mcg/min) = Desired dose (mcg/kg/min) × Weight (kg)
= 5 mcg/kg/min × 60 kg
= 300 mcg/min.
- Convert the desired dose from micrograms per minute (mcg/min) to milligrams per hour (mg/hr).
1 mg = 1000 mcg
1 hr = 60 min
Desired dose in mg/hr = (300 mcg/min / 1000 mcg/mg) × 60 min/hr
= 0.3 mg/min × 60 min/hr
= 18 mg/hr.
- Determine the concentration of the available Dopamine solution in milligrams per milliliter (mg/mL).
Available concentration = Total medication (mg) / Total volume (mL)
= 1600 mg / 500 mL
= 3.2 mg/mL.
- Calculate the IV pump rate in milliliters per hour (mL/hr).
IV pump rate (mL/hr) = Desired dose (mg/hr) / Available concentration (mg/mL)
= 18 mg/hr / 3.2 mg/mL
= 5.625 mL/hr.
- Round the answer to the nearest tenth.
= 5.6
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