An 8-year old child, who has a history of asthma is seen in the office of the school nurse with coughing and wheezing. Which of the following actions should the nurse perform first?
Educate the child to avoid triggers.
Administer albuterol
Transport the child to the emergency department.
Assess the child's peak expiratory flow and compare it to the Asthma Action plan.
The Correct Answer is B
A. Educate the child to avoid triggers.
While avoiding triggers is important for long-term asthma management, it may not address the immediate symptoms of coughing and wheezing.
B. Administer albuterol
Administering albuterol is a common and effective rescue treatment for asthma symptoms like coughing and wheezing. This can provide quick relief.
C. Transport the child to the emergency department.
This is a drastic step and may not be necessary unless the child's symptoms are severe and not responding to initial interventions.
D. Assess the child's peak expiratory flow and compare it to the Asthma Action plan.
Assessing peak expiratory flow and comparing it to the Asthma Action plan is a good practice. However, it might take time, and immediate relief is also crucial.
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Related Questions
Correct Answer is C
Explanation
A. Airborne precautions: RSV is primarily spread through respiratory droplets, not airborne particles. Therefore, airborne precautions are not necessary.
B. Contact Precautions and droplet precautions: Contact precautions are not typically required for RSV. The main mode of transmission is respiratory droplets, so droplet precautions are appropriate.
C. Standard Precautions and droplet precautions: This is the correct answer. Standard precautions involve using protective barriers to prevent the spread of infection and are applied to all patients. In addition, droplet precautions are necessary for infections transmitted through respiratory droplets.
D. Positive pressure isolation and airborne isolation: Positive pressure isolation and airborne isolation are generally used for conditions where the infectious agents are transmitted through the air, such as tuberculosis. These precautions are not necessary for RSV.
Correct Answer is ["A","B","C"]
Explanation
A. Respirations: Monitoring respiratory rate and pattern is crucial when a child is receiving narcotics, as these medications can depress the respiratory system. Rapid or shallow breathing may indicate respiratory distress.
B. Level of consciousness: This is important to assess for any signs of sedation or altered mental status, which can be a side effect of narcotics.
C. Oxygen saturations: Monitoring oxygen saturations is essential, especially if there are concerns about respiratory depression. A decrease in oxygen saturations could indicate inadequate ventilation.
D. Bowel sounds: While bowel sounds are important to assess for gastrointestinal function, they are not the top priority when monitoring a child receiving narcotics. Respiratory and central nervous system status take precedence.
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