Tyleemah the nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?

Methylprednisolone

Albuterol

Montelukast

Fluticasone

Answer and Explanation

The Correct Answer is B

A. Methylprednisolone: Methylprednisolone is a corticosteroid used to reduce inflammation but is not the first-line treatment for an acute asthma attack. It is used in the management of longer-term control and inflammation after the initial symptoms are managed.

B. Albuterol: Albuterol is a short-acting beta-agonist (SABA) that provides quick relief by dilating the airways. It is the first medication given during an acute asthma attack to relieve bronchospasm and improve airflow.

C. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention of asthma symptoms but is not used in an acute asthma attack.

D. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term management of asthma to reduce inflammation, but it is not effective in treating an acute asthma attack.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Foot: Suitable for infants or younger children, especially in cases of limited upper extremity access.

B. Forearm: Not a typical placement site for pulse oximetry due to lack of adequate perfusion.

C. Earlobe: Often used when peripheral sites are unreliable, especially in cases of poor circulation.

D. Fingertip: The most common site for older children or adults.

E. Toe: Frequently used in infants or small children.

F. Cheek: Not a standard site for pulse oximeter placement.

A. Reports of pain B. Mouth breathing C. Frequent swallowing D. Reports of thirst

Correct Answer is C

Explanation

A. Reports of pain: Common after a tonsillectomy and not specific to hemorrhage.

B. Mouth breathing: Typically due to throat swelling and doesn’t indicate hemorrhage.

C. Frequent swallowing: Indicative of bleeding, as the child may be swallowing blood.

D. Reports of thirst: Not specific to hemorrhage and could occur due to reduced oral intake.

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Tyleemah the nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to apply a pulse oximeter to a child who is having an acute asthma attack. Select the areas the nurse can correctly place the pulse oximeter. (Select All that Apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?

Correct Answer is C

Explanation

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