A school nurse realizes that a student who has asthma visits the health office two to three times every day to use their rescue inhaler. Which of the following interventions should the nurse plan to implement first?
Discuss the manifestations of asthma with the student's teacher.
Encourage the student's parent to identify and reduce environmental triggers.
Review breathing exercises with the student.
Determine if the student sees their provider on a regular basis.
The Correct Answer is D
Rationale:
A. Discuss the manifestations of asthma with the student's teacher is incorrect as the first action because while educating the teacher is important for classroom management, it does not address the immediate concern of frequent inhaler use and potential uncontrolled asthma.
B. Encourage the student's parent to identify and reduce environmental triggers is important but is not the first step. Environmental interventions are part of long-term asthma management, but the priority is identifying why the student is needing frequent rescue medication.
C. Review breathing exercises with the student is incorrect as the first step because breathing techniques are supportive interventions; they do not address the underlying cause of frequent inhaler use or ensure proper medical management.
D. Determine if the student sees their provider on a regular basis is correct because frequent use of a rescue inhaler indicates possible poorly controlled asthma. The nurse’s first priority is to assess the student’s current medical management and ensure they are receiving appropriate follow-up care. This helps identify whether a change in medication, treatment plan, or further evaluation is needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Provide programs without an emphasis on spiritual care is incorrect because removing spiritual care ignores the purpose of the program and does not address why the outcomes were not met. Eliminating the focus on spirituality defeats the goal of the intervention.
B. Reassess the social demographics of the faith community is correct because program outcomes may be influenced by the community’s characteristics, such as age, cultural beliefs, literacy, socioeconomic status, or spiritual practices. Reassessing these factors allows the nurse to modify the program to better meet the needs and preferences of the clients, improving engagement and effectiveness.
C. Disregard differences in the nurse's and clients' beliefs is incorrect because ignoring differences can impair rapport and cultural sensitivity, potentially contributing to unmet outcomes. Successful spiritual care requires understanding and respecting client beliefs.
D. Apply objective measurements for the outcomes is partially correct in evaluating program success but does not address why outcomes were not achieved. Measurement alone identifies gaps but does not guide modifications or interventions to improve effectiveness.
Correct Answer is C
Explanation
Rationale:
A. These are part of the social and community context, influencing social support, civic engagement, and access to resources, but they do not represent the physical environment.
B. Education is a social determinant of health that influences employment opportunities, income, health literacy, and long-term health outcomes. It is not part of the neighborhood or built environment.
C. This is a core component of the neighborhood and built environment, which includes physical structures, housing conditions, access to transportation, recreational areas, and safety. Poor housing quality can expose residents to hazards such as mold, lead, or unsafe living conditions, directly affecting health.
D. Health insurance is part of access to healthcare, a separate determinant that influences the ability to obtain medical services. It is not related to the physical or built environment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.