Exhibits

A nurse is reviewing the medical record of a school-age child who has asthma. Which of the following prescriptions should the nurse anticipate administering? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Chest physiotherapy four times per day

Ice packs to the groin

A cough suppressant

Corticosteroid via intermittent IV bolus

Answer and Explanation

The Correct Answer is D

A. Chest physiotherapy four times per day: While chest physiotherapy can help with clearing mucus, it is not indicated as the first-line intervention for asthma exacerbation. The child’s primary issue is difficulty with airway constriction and inflammation, not just mucus buildup.

B. Ice packs to the groin: Ice packs are not appropriate for this child’s asthma exacerbation. Ice packs are generally used for managing inflammation or injury, not for asthma exacerbations.

C. A cough suppressant: The cough is a symptom of the underlying asthma exacerbation and needs to be managed with bronchodilators and anti-inflammatory medications to treat the underlying cause, not suppressed.

D. Corticosteroid via intermittent IV bolus: The child has signs of a moderate to severe asthma exacerbation, including wheezing, intercostal retractions, a decreased peak flow, and oxygen saturation of 88%, which indicates poor ventilation. Corticosteroids are used to reduce inflammation and improve airway function.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "Limit crossing your legs at your knees to 30 minutes at a time.": Crossing your legs can impair circulation and exacerbate venous insufficiency. It is generally advised to avoid crossing the legs altogether to promote better blood flow.

B. "Elevate the head of the bed when sleeping at night.": Elevating the head of the bed is not the best approach for managing venous insufficiency. It is more effective to elevate the legs to improve venous return and reduce swelling, rather than focusing on the head.

C. "Wash your graduated compression stockings in the washing machine.": Compression stockings should be hand-washed or washed on a gentle cycle, as the washing machine can damage the elasticity of the stockings.

D. "Put on your graduated compression stockings before getting out of bed.": Graduated compression stockings should be worn as soon as the client gets out of bed in the morning, before standing or walking, to prevent blood from pooling in the legs and to reduce swelling.

A. "I've been sleeping on my back with a large pillow under my knees." B. "I've been changing my lidocaine patches every 18 hours." C. "I have been taking acetaminophen when my knees start to hurt." D. "I have been exercising every day, even when I have pain."

Correct Answer is C

Explanation

A. "I've been sleeping on my back with a large pillow under my knees.": Sleeping on a large pillow under the knees can cause the knees to remain in a flexed position for prolonged periods potentially leading to joint stiffness or worsening pain.

B. "I've been changing my lidocaine patches every 18 hours.": Lidocaine patches are typically changed every 12 hours, not 18 hours. Incorrect use or adherence to medication schedules can indicate a misunderstanding of how to manage the condition.

C. "I have been taking acetaminophen when my knees start to hurt.": Acetaminophen is commonly used for managing mild osteoarthritis pain. Taking acetaminophen as needed for pain is a good indication that the client is effectively managing the disease.

D. "I have been exercising every day, even when I have pain.": While exercise is important, exercising daily despite pain may lead to overuse and worsen symptoms. Clients with osteoarthritis should exercise in moderation and be mindful of their pain levels to avoid exacerbating joint damage.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has venous insufficiency due to deep-vein thrombosis. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is assessing a client's adaptation to a new diagnosis of osteoarthritis. Which of the following client statements should indicate to the nurse that the client is managing the disease?

Correct Answer is C

Explanation

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