The nurse is providing discharge teaching to the parents of a 4-year-old with newly diagnosed asthma. An important tool to assess how well the asthma is controlled is:

Peak expiratory flow meter.

Metered dose inhaler with spacer.

Pulse oximetry.

Inhaled steroids.

Answer and Explanation

The Correct Answer is A

Choice A reason: A peak expiratory flow meter is a device that measures how fast the child can exhale air from the lungs. It can help monitor the severity of asthma and the effectiveness of treatment. It can also help identify triggers and prevent asthma attacks.

Choice B reason: A metered dose inhaler with spacer is a device that delivers medication to the lungs. It can help relieve or prevent asthma symptoms, but it does not measure how well the asthma is controlled.

Choice C reason: Pulse oximetry is a device that measures the oxygen saturation of the blood. It can help detect hypoxia, which is a complication of asthma, but it does not measure how well the asthma is controlled.

Choice D reason: Inhaled steroids are a type of medication that reduce inflammation in the airways. They can help prevent asthma attacks and improve lung function, but they do not measure how well the asthma is controlled.

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Correct Answer is C

Explanation

Choice A reason: Emancipation is the legal process of granting a minor the rights and responsibilities of an adult. It is not related to the process of obtaining agreement from a child for medical treatment or research.

Choice B reason: Informed consent is the process of obtaining permission from a competent individual for medical treatment or research, after providing them with adequate information about the risks and benefits. It is not applicable to children who are not legally capable of giving consent.

Choice C reason: Assent is the process of obtaining agreement from a child for medical treatment or research, after explaining the procedures and outcomes in a developmentally appropriate way. It is an ethical requirement for involving children in health care decisions that affect them.

Choice D reason: Confidentiality is the principle of protecting the privacy of personal information of patients or research participants. It is not the same as obtaining agreement from a child for medical treatment or research.

A. Administration of antibiotics B. Cluster care to conserve energy C. Limit fluids to prevent coughing D. Round-the-clock administration of antitussive agents

Correct Answer is ["A","B"]

Explanation

Choice A reason: This response is correct because antibiotics are indicated for bacterial pneumonia caused by staphylococcus. Antibiotics help to fight the infection and prevent complications.

Choice B reason: This response is correct because cluster care means grouping nursing interventions together to minimize the disruption of the child's rest and sleep. Cluster care helps to conserve the child's energy and promote healing.

Choice C reason: This response is not correct because fluids are essential for hydration and thinning of secretions in pneumonia. Fluids help to prevent dehydration and facilitate expectoration of mucus.

Choice D reason: This response is not correct because antitussive agents are not recommended for pneumonia. Antitussive agents suppress the cough reflex, which is a natural mechanism to clear the airways of secretions. Antitussive agents may increase the risk of respiratory infection and atelectasis.

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The nurse is providing discharge teaching to the parents of a 4-year-old with newly diagnosed asthma. An important tool to assess how well the asthma is controlled is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, especially when treatment is part of research protocols. The term for this process is:

Correct Answer is C

Explanation

An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which of the following? (Select all that apply).

Correct Answer is ["A","B"]

Explanation

While caring for a 4-year-old, the nurse uses which tool to assess pain?

The nurse is assessing a child with epiglottitis in the emergency department. The child has a sore throat and is drooling. Examining the child's throat using a tongue depressor might precipitate which of the following?

Which factor is most likely to contribute to respiratory compromise in a child?

Which situation would be appropriate to refer to the hospital ethics committee?

A second grader enters the school nurse's office crying and states, "I feel sick. My tummy hurts." The nurse replies, "I'll call your mommy or daddy to come pick you up." The child replies, "I don't have a mommy. I have two daddies." Which of the following comments by the nurse is appropriate?

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You enter a two-year-old patient's room and see the pulse oximeter reading 55% oxygen saturation. Your first action would be to:

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