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 A

Explanation

A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.

A. Bradycardia B. Hypertension C. Fatigue D. Diarrhea

Correct Answer is C

Explanation

A. Bradycardia, or a slower-than-normal heart rate, is not typically associated with anemia due to blood loss. Instead, anemia often leads to tachycardia (increased heart rate) as the body compensates for the reduced oxygen-carrying capacity of the blood.
B. Hypertension, or elevated blood pressure, is not a common finding in cases of anemia from blood loss. In fact, blood loss often results in hypotension (low blood pressure) due to decreased blood volume and circulating fluid.
C. Fatigue is a common symptom of anemia. As the body's ability to transport oxygen decreases due to the lack of sufficient red blood cells, the client may experience weakness, tiredness, and general fatigue, especially after surgery.
D. Diarrhea is not a typical finding associated with anemia from blood loss. While certain conditions causing anemia (such as gastrointestinal bleeding) could lead to changes in bowel habits, diarrhea itself is not a direct consequence of anemia. Instead, clients may experience symptoms more related to fluid volume status and energy levels.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Correct Answer is A

Explanation

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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