The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?
Dust the child's room with a damp cloth every week.
Provide down pillows for the child.
Use a warm mist humidifier in the child's room.
Encourage the child to go outside into the cold air at the start of an asthma attack.
The Correct Answer is A
Dust the child's room with a damp cloth every week.
Choice A rationale:
Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.
Choice B rationale:
Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.
Choice C rationale:
Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.
Choice D rationale:
Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The statement "The parent collects the specimen when the child reports itching”. is incorrect. The scotch tape test for pinworms involves placing clear tape on the perianal area in the morning to collect eggs that may have been laid during the night, not based on itching.
Choice B rationale:
The statement "The parent collects the specimen in the evening before the child goes to bed”. is incorrect. The test is most effective in the morning when the child wakes up, as this is when pinworms are most active and lay their eggs.
Choice C rationale:
The statement "The parent collects the specimen after the child has had a bowel movement”. is incorrect. The test doesn't involve collecting a specimen after a bowel movement but rather in the morning using transparent tape to catch pinworm eggs.
Choice D rationale:
The statement "The parent collects the specimen in the morning when the child awakens”. is correct. This is the correct time for the scotch tape test, as it maximizes the chance of detecting pinworm eggs laid during the night.
Correct Answer is A
Explanation
Choice A rationale:
This response acknowledges the client's feelings, addresses the immediate situation, and offers an alternative without judgment.
Choice B rationale:
Asking "What's wrong? Haven't you ever lost a game before?”. might come across as dismissive and insensitive to the client's emotions.
Choice C rationale:
Simply saying "I am sure you'll win the next game”. minimizes the client's feelings and does not address the current situation.
Choice D rationale:
Telling the client that "other children will not want to play with you if you act like that”. is a negative and shaming response, which is counterproductive to building a therapeutic relationship.
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