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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This response is not the priority action because dehydration is not an immediate threat to the child's life. The nurse should first rule out any signs of hemorrhage, which is a common complication of tonsillectomy.
Choice B reason: This response is not the priority action because pain medication may mask the symptoms of bleeding, such as increased swallowing or restlessness. The nurse should first assess the child for any signs of hemorrhage, and then administer pain medication as needed.
Choice C reason: This response is not the priority action because cherry popsicles may irritate the throat and cause bleeding. The nurse should first assess the child for any signs of hemorrhage, and then offer clear fluids or ice chips to the child.
Choice D reason: This response is the priority action because post-op bleeding is a serious and potentially fatal complication of tonsillectomy. The nurse should assess the operative site for any signs of bleeding, such as fresh blood, clots, or increased swallowing. The nurse should also monitor the child's vital signs, oxygen saturation, and level of consciousness. If bleeding is suspected, the nurse should notify the physician immediately and prepare for emergency interventions.
Correct Answer is D
Explanation
Choice A reason: The child's current vital signs are consistent with vital signs over the past 4 hours. This does not indicate that the child is in pain, as the vital signs may be within normal range or stable.
Choice B reason: The child becomes quiet when held and cuddled. This may indicate that the child is comforted by the nurse's presence and touch, not that the child is in pain.
Choice C reason: The child has just returned from the recovery room. This may indicate that the child is still under the influence of anesthesia or sedation, not that the child is in pain.
Choice D reason: The child is lying rigidly in bed and not moving. This is a sign of pain in children, as they may try to avoid movement or stimulation that could worsen their pain. The nurse should assess the child's pain level and administer pain medication as prescribed.
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