A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

"Has your child been exposed to any of the usual asthma triggers?"

"What time did your child's symptoms begin?"

"When was your child's last dose of medication?"

"When was your child last admitted to the hospital with asthma?"

Answer and Explanation

The Correct Answer is C

A.   While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B.   Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C.   This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D.   Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

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Correct Answer is C

Explanation

A. Rhonchi are abnormal lung sounds that result from obstruction or secretions in larger airways. They are more commonly associated with conditions like chronic bronchitis or COPD rather than tuberculosis. While TB can lead to various lung sounds, rhonchi are not a hallmark of the disease.
B. Weight gain is generally not associated with tuberculosis. In fact, TB often leads to weight loss due to factors like loss of appetite, increased metabolic demand, and systemic effects of the infection. Patients with active TB frequently present with cachexia (wasting) or weight loss, not weight gain.
C. Hemoptysis, or coughing up blood, is a significant and classic symptom associated with tuberculosis, especially in cases involving pulmonary TB. It occurs due to the erosion of blood vessels in the lungs as the disease progresses. This makes it a strong correlating finding with a diagnosis of tuberculosis.
D. Frothy sputum is more characteristic of pulmonary edema or conditions such as congestive heart failure. In tuberculosis, sputum may be mucoid or purulent and sometimes contains blood, but it is not typically described as frothy.

A. Yogurt B. Oranges C. Red meat D. Cashews

Correct Answer is C

Explanation

A. While yogurt is a nutritious food, it is not a significant source of iron.
B. Oranges are rich in vitamin C, which can help the body absorb iron from other foods. However, they are not a significant source of iron themselves.
C. Red meat, such as beef, lamb, and pork, is an excellent source of heme iron, which is easily absorbed by the body. This makes red meat a highly recommended food for people with iron deficiency.
D. Cashews are a good source of plant-based iron, but they also contain phytates, which can interfere with iron absorption. Therefore, while cashews can contribute to iron intake, they may not be as effective as red meat in addressing iron deficiency.

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A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Nursing Test Bank

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Correct Answer is C

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Correct Answer is C

Explanation

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