The nurse is educating the parents of a recently diagnosed child with asthma. When reviewing the medications, the nurse explains the differences between rescue and controller medications. The nurse focuses on teaching the family which anti-inflammatory corticosteroid is used to prevent an asthma attack.

Cromolyn sodium (Intal)

Levalbuterol (Xopenax)

Terbutaline (Brethaire)

Budesonide (Pulmocort)

Answer and Explanation

The Correct Answer is D

A. Cromolyn sodium is a mast cell stabilizer, not a corticosteroid. It is used for preventing asthma symptoms, but it is not a corticosteroid and is less commonly used now.
B. Levalbuterol is a short-acting beta-agonist (SABA) and used as a rescue medication, not for long-term prevention.
C. Terbutaline is a beta-2 agonist and may be used for rescue or emergency use, especially in status asthmaticus, but not a corticosteroid or daily controller.
D. Budesonide (Pulmicort) is an inhaled corticosteroid used regularly as a controller medication to prevent asthma attacks by reducing airway inflammation. It is not used for acute relief, but rather for long-term management of asthma.

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Correct Answer is A

Explanation

A. Frequent swallowing is a classic sign of post-tonsillectomy hemorrhage, as the child may be swallowing blood that is draining down the throat. This can be a subtle but early indicator of bleeding and requires immediate evaluation.
B. Increased pain is expected in the immediate postoperative period and not specific to hemorrhage.
C. Drooling may be due to throat pain or refusal to swallow but is not a key indicator of bleeding.
D. Poor fluid intake is common after tonsillectomy due to pain and discomfort, but not specific to hemorrhage.

A. Essential for the child. B. Best achieved with punishment for misbehavior. C. Not needed unless the child becomes problematic D. Too difficult to implement with a special-needs child

Correct Answer is A

Explanation

A. Discipline is essential for all children, including those with disabilities. It provides structure, helps establish boundaries, promotes safety, and supports social development. The approach may need to be adapted to the child’s developmental level and abilities, but the need for consistent, positive discipline remains crucial.
B. Discipline should focus on positive reinforcement and teaching, not punishment. Punishment can be harmful, especially if not developmentally appropriate.
C. Discipline should be proactive, not reactive. Waiting until a child becomes problematic can lead to inconsistent and less effective outcomes.
D. While it may require more creativity and patience, discipline is not too difficult with special-needs children when it's tailored to their individual capabilities and needs.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

Correct Answer is A

Explanation

The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response should be based on the knowledge that discipline is:

Correct Answer is A

Explanation

Which of the following would surgical closure of the patent ductus arteriosus do?

A nurse cares for a school-age child with mild, persistent asthma. Which of the following is an expected finding? (Select all that apply.)

While teaching anticipatory guidance to a young couple with a child with Down syndrome, the nurse explains that one major physical characteristic of the child with Down syndrome is:

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Which statement by an 8-year-old female client with asthma indicates that she understands using a peak expiratory flow meter?

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