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","B","C","F","G","H"]

Explanation

A. The patient's color can indicate their oxygenation status. Cyanosis (bluish tint) may suggest hypoxia, which is critical to assess in an asthma patient.
B. Auscultation of lung sounds is essential in asthma assessment. The presence of wheezing, prolonged expiration, or decreased breath sounds can indicate airway obstruction and the severity of the asthma exacerbation.
C. Assessing heart tones can provide information about the cardiovascular response to respiratory distress. Increased heart rate may occur due to hypoxia or anxiety associated with asthma attacks.
D. Bowel sounds are not relevant in the assessment of asthma. While gastrointestinal symptoms may co- occur in some patients, they are not directly related to asthma's respiratory condition.
E. While peripheral pulses are important in general assessments, they do not provide specific information relevant to asthma management or respiratory status.
F. Monitoring respiratory rate and effort is crucial in assessing asthma. Increased respiratory rate and use of accessory muscles may indicate respiratory distress or an asthma exacerbation.
G. A pulse oximetry reading provides an objective measure of oxygen saturation. Low oxygen saturation levels indicate inadequate oxygenation, which is critical to monitor in asthma patients.
H. Measuring peak expiratory flow rate (PEFR) helps assess the severity of airway obstruction and monitor asthma control. It can guide treatment decisions and determine if an asthma attack is occurring.

A. Fatigue B. Night sweats C. Neuropathy D. Weight loss E. Non-productive cough F. Low grade fever

Correct Answer is ["A","B","D","E","F"]

Explanation

A. Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B. Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C. While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D. TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E. A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F. A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.

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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

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

Correct Answer is ["A","B","C","F","G","H"]

Explanation

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

A student nurse asks what "primary hypertension" is. What is the best response by the registered nurse?

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?

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?

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?

The physician orders a unit of packed red blood cells (PRBC) to infuse in 2 hours. The unit contains 250 mL. The blood tubing administration set has a drop factor of 10 gtt/mL. The flow rate for the infusion of packed red blood cell is gtt/min. (Round to the nearest drop)

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?