The nurse is caring for a toddler with acute laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?
Teaching the child to take long, slow breaths
Assisting with racemic epinephrine nebulizer therapy
Administering an oral analgesic
Administering a corticosteroid
The Correct Answer is B
A. Teaching the child to take long, slow breaths:
While teaching slow breathing techniques can be helpful in managing anxiety and promoting a sense of calm, it may not directly address the underlying airway inflammation and bronchodilation needed in acute laryngotracheobronchitis.
B. Assisting with racemic epinephrine nebulizer therapy:
Racemic epinephrine is a medication that contains epinephrine, a bronchodilator. Nebulizer therapy with racemic epinephrine helps reduce airway inflammation, allowing for bronchodilation and improved breathing. This is a common intervention for managing acute respiratory distress in conditions like croup.
C. Administering an oral analgesic:
Oral analgesics, such as pain medications, can provide relief from discomfort or pain, but they do not directly address the bronchodilation needed for conditions like acute laryngotracheobronchitis.
D. Administering a corticosteroid:
Corticosteroids have anti-inflammatory properties and can help reduce swelling and inflammation in the airways. By doing so, they contribute to bronchodilation and improved breathing in conditions like croup. Corticosteroids are often used as part of the treatment plan for acute laryngotracheobronchitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Internet resources, movies, and television have the most accurate and current information for your adolescent to learn about sexuality issues:
This statement may not be accurate, as the internet, movies, and television can sometimes provide misinformation or biased perspectives. It's crucial to emphasize the importance of reliable and evidence-based sources when adolescents seek information about sexuality.
B. Being honest and straightforward with teenagers will encourage them to ask about subjects like sexuality:
This statement is valuable as it emphasizes open communication. Being honest and straightforward creates an environment where adolescents feel comfortable approaching their caregivers with questions or concerns about sexuality. It promotes trust and a supportive relationship.
C. Most schools have excellent programs to teach adolescents about sex and sexuality:
While some schools do have comprehensive sex education programs, the quality of these programs can vary. Additionally, the involvement of parents and caregivers in discussions about sex and sexuality is essential. Relying solely on school programs may not cover all aspects, and caregivers play a crucial role in reinforcing positive attitudes and values.
D. Teenagers spend so much time with their peers, and that is usually how they find out about sex:
While it's true that peers can influence adolescents, relying solely on peer influence for information about sex may not provide accurate or comprehensive knowledge. Caregivers should aim to create an open and honest dialogue to supplement information from peers and address any misconceptions.
Correct Answer is B
Explanation
A.While cystic fibrosis is characterized by a high concentration of sodium chloride in sweat due to defective chloride channels, this is not the cause of the barrel chest and clubbing of the fingers.
B.The barrel chest and clubbing of the fingers are often seen in children with cystic fibrosis due to chronic hypoxia (lack of oxygen). Chronic lung infections, airway obstruction, and respiratory insufficiency associated with cystic fibrosis lead to prolonged low oxygen levels, which can result in these physical changes.
C.Decreased respiratory capacity, often due to the chronic respiratory issues associated with cystic fibrosis, can result in a barrel chest (increased chest diameter due to air trapping) and clubbing of the fingers (a sign of chronic hypoxia).
D.Decreased respiratory capacity (due to thick mucus and airway obstruction) does contribute to chronic respiratory issues in cystic fibrosis, but the direct cause of the barrel chest and clubbing is the chronic lack of oxygen (hypoxia) rather than decreased capacity alone. The changes in the chest and fingers are a result of prolonged oxygen deprivation.
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