Case Study Asthma - Peds
Status epilepticus
Status asthmaticus
Postitical status
Status post asthma
The Correct Answer is B
A. Status epilepticus: This refers to a prolonged or repeated seizure without recovery of consciousness between episodes. It is unrelated to respiratory conditions and does not apply to Lily’s worsening asthma symptoms.
B. Status asthmaticus: Status asthmaticus is a severe, prolonged asthma attack that does not respond to initial bronchodilator therapy. Lily’s persistent wheezing, increased work of breathing, and low oxygen saturation despite treatment indicate this potentially life-threatening condition that requires immediate medical intervention.
C. Postictal status: The postictal state follows a seizure and is characterized by confusion or fatigue. It has no relevance to Lily’s presentation, which involves respiratory, not neurological, distress.
D. Status post asthma: This phrase describes a condition following an asthma episode but does not reflect an ongoing or worsening attack. It is not a recognized clinical term for an acute, unresponsive asthma condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "It could be a heart attack, and when the heart is damaged it causes respiratory damage, too.” This misrepresents the pathophysiology of cor pulmonale. Cor pulmonale results from lung disease impacting heart function, not vice versa.
B. "It isn't a heart attack, but your heart has gradually weakened over the years, causing respiratory disease."In cor pulmonale, chronic respiratory disease leads to right-sided heart failure not the other way around.
C. "It is probably a heart attack, since cor pulmonale means that the heart isn't getting enough blood and becomes too weak to pump effectively."Cor pulmonale, is not about coronary blood flow but rather the increased pulmonary pressure due to chronic lung disease that strains the right side of the heart.
D. "You aren't having a heart attack, but your heart has been damaged by changes in your lungs caused by your respiratory disease."Cor pulmonale is right-sided heart failure caused by chronic lung disease such as COPD. Increased resistance in the pulmonary circulation puts strain on the right ventricle, leading to its dysfunction.
Correct Answer is B
Explanation
A. Return to the ED immediately for a cough that gets worse at night:While worsening symptoms should be monitored, mild nighttime worsening of croup is common. Immediate return to the ED is not necessary unless there are signs of respiratory distress like stridor at rest, retractions, or cyanosis.
B. Take the child into a steamy hot bathroom for 15 minutes:Exposure to humidified air can help loosen mucus and reduce airway inflammation, easing the barking cough associated with croup. This home remedy is safe and effective for nighttime symptoms in mild cases.
C. Give the child warm liquids to soothe the throat:Infants under 6 months should not be given liquids other than breast milk or formula unless specifically instructed by a provider. Warm liquids also pose a risk of burns or aspiration in young infants.
D. Give the child over-the-counter cough suppressants:OTC cough suppressants are not recommended for children under 6 years old due to lack of proven benefit and risk of side effects. They can suppress the protective cough reflex and should be avoided in infants.
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.