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The nurse is providing asthma education to a teen that has just been diagnosed with asthma. Which of the following statements by the client would indicate a need for further teaching? Select all that apply.

"When I am having an asthma attack, my airway is constricting and it can become dangerous"

"should try to identify what causes me to have an asthma attack and avoid those activities if possible"

"I’ve really been wanting to sleep with my dog and my asthma attacks will not stop me"

"I will take albuterol prior to exercising to avoid an attack"

"When I am having an asthma attack, I should call 911 before doing anything else"

Answer and Explanation

Correct Answer : C,E

A. This statement is correct. Airway constriction during an asthma attack can be dangerous.

B. Identifying and avoiding asthma triggers is an appropriate strategy for managing asthma.

C. Keeping a pet in the home when allergic to it or exposed to asthma triggers can worsen symptoms. This needs further education about asthma management.

D. Taking albuterol prior to exercise is a recommended strategy to prevent exercise-induced asthma.

E. Calling 911 immediately during an asthma attack is not the first step unless the child is unable to manage it with their prescribed rescue medication (e.g., albuterol). The first action should be to use the rescue inhaler.

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Correct Answer is C

Explanation

A. Aortic stenosis (AS) typically causes a difference in blood flow across the aortic valve but does not usually require assessment of upper and lower extremity blood pressures.

B. Transposition of the Great Vessels (Arteries) results in cyanosis and abnormal circulatory flow but does not require upper and lower extremity blood pressure monitoring.

C. Coarctation of the Aorta (COA) is characterized by narrowing of the aorta, often resulting in higher blood pressure in the upper extremities compared to the lower extremities. Measuring both helps identify this condition.

D. Tetralogy of Fallot (TOF) involves right ventricular outflow obstruction, VSD, overriding aorta, and right ventricular hypertrophy, but upper and lower extremity blood pressures are not typically used for diagnosis.

A. Extreme fatigue B. An airway obstruction C. Presence of pain D. Presence of dehydration

Correct Answer is B

Explanation

A. Extreme fatigue is not indicated by this positioning.

B. The child’s forward-leaning position with neck extension is a classic sign of epiglottitis, where the child is attempting to open the airway and facilitate breathing in response to obstruction.

C. Pain may be present, but the positioning is primarily related to an attempt to alleviate airway obstruction.

D. Dehydration would not typically cause this specific positioning.

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The nurse is providing asthma education to a teen that has just been diagnosed with asthma. Which of the following statements by the client would indicate a need for further teaching? Select all that apply.

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Naxlex Comprehensive Predictor Exams

In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?

Correct Answer is C

Explanation

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the neck extended. How would the nurse interpret this finding? -

Correct Answer is B

Explanation

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