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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Magical thinking
Magical thinking is a cognitive characteristic commonly observed in preschool-aged children. It involves believing that one's thoughts, wishes, or actions can influence events, even when there is no logical or causal connection. For example, a preschooler might believe that simply thinking about a toy can make it appear.
B. Thoughts are all-powerful
The belief that thoughts have omnipotent power is often seen in the preoperational stage of cognitive development, which occurs in early childhood. Children in this stage may think that their thoughts alone can cause significant changes or events.
C. Ability to conserve
Conservation is a cognitive skill associated with the concrete operational stage of development, typically occurring around 7 to 11 years of age. Children at this stage understand that certain properties of objects remain the same despite changes in appearance. For example, they recognize that the amount of liquid stays the same when poured into a differently shaped container.
D. Animism
Animism is a concept observed in the preoperational stage, where children attribute life-like qualities to inanimate objects. For instance, a child might believe that a stuffed animal has feelings or thoughts.
Correct Answer is D
Explanation
A. "They will come around dinner time."
This response uses the term "dinner time," which might be too abstract for a young child. It doesn't provide a specific visual reference.
B. "It won't be much longer."
This response is somewhat vague and may not offer a clear understanding of when the parents will arrive. Young children may not grasp the concept of "much longer."
C. "They will be here soon."
Similar to choice B, this response is somewhat vague and relies on the child's interpretation of "soon," which can vary.
D. "Let me show you where 6 o'clock is on the clock."
This response is the most concrete and provides a visual reference by using the clock. It helps the child understand the passage of time in a more tangible way.
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