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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 B

Explanation

A. Croup is a viral infection that typically presents with a barking cough and stridor, rather than difficulty swallowing and excessive drooling.

B. Epiglottitis is a life-threatening condition characterized by sudden onset of fever, drooling, difficulty swallowing, and difficulty speaking (dysphonia). It is a medical emergency and often caused by Haemophilus influenzae type B.

C. Bronchiolitis is usually caused by respiratory syncytial virus (RSV) and presents with wheezing, cough, and respiratory distress but not typically with drooling or difficulty swallowing.

D. Laryngotracheobronchitis (another name for croup) also presents with a barking cough and stridor but does not cause difficulty swallowing or drooling.

A. Absence of spontaneous cough and dysphonia B. Generalized skin flushing C. Coarse tremors and splenomegaly D. Harsh, productive cough and rhinorrhea

Correct Answer is A

Explanation

A. In epiglottitis, there is typically an absence of spontaneous cough because of severe airway obstruction. Dysphonia (difficulty speaking) is also common due to swelling of the epiglottis.

B. Generalized skin flushing is not a common finding in epiglottitis.

C. Coarse tremors and splenomegaly are not associated with epiglottitis.

D. A harsh, productive cough and rhinorrhea are more common with viral respiratory infections, not epiglottitis.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 2-year-old client with symptoms of excessive drooling, respiratory distress, difficulty swallowing, and difficulty speaking. Based on these assessment findings, which conditions does the nurse suspect?

Correct Answer is B

Explanation

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

Correct Answer is A

Explanation

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