What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
Stuffed toys.
Pet ownership.
Gymnastics.
Basketball.
Cotton blankets.
Correct Answer : A,B,C,D
Choice A rationale
Stuffed toys can accumulate dust mites, which are common allergens for individuals with asthma. Exposure to these allergens can trigger bronchospasm, inflammation of the airways, and exacerbate asthma symptoms, leading to respiratory distress. Therefore, minimizing exposure by discouraging stuffed toys helps prevent asthma attacks.
Choice B rationale
Pet ownership, particularly of animals with fur or dander, can introduce significant allergens into the home environment. Proteins in pet dander, saliva, and urine can trigger allergic reactions and asthma symptoms in sensitized individuals. Avoiding pet ownership is a key strategy for reducing allergen exposure and managing asthma effectively.
Choice C rationale
Gymnastics, a high-intensity physical activity, can often induce exercise-induced bronchoconstriction in individuals with asthma. The rapid breathing during strenuous exercise can lead to airway cooling and drying, triggering narrowing of the airways and symptoms such as coughing, wheezing, and shortness of breath.
Choice D rationale
Basketball is an activity characterized by intermittent high-intensity exertion, which can readily trigger exercise-induced bronchoconstriction in asthmatic individuals. The sudden bursts of activity and rapid breathing patterns contribute to airway cooling and drying, leading to an increased risk of acute asthma symptoms during or after play.
Choice E rationale
Cotton blankets are generally considered hypoallergenic and are less likely to harbor dust mites compared to synthetic materials or wool. Cotton is breathable and can be washed frequently at high temperatures, which helps to eliminate allergens. Therefore, discouraging cotton blankets would be counterproductive to asthma management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A decrease in respiration rate from 40 to 32 breaths/min in an infant with RSV, while a reduction, does not necessarily indicate immediate deterioration requiring urgent reporting unless accompanied by other signs of respiratory distress. The normal respiratory rate for an infant typically ranges from 30 to 60 breaths/min. This change might reflect an improvement or a less acute phase.
Choice B rationale
A decrease in heart rate from 110 to 100 beats/min in an infant, while a slight reduction, still falls within the normal range for an infant's heart rate (typically 90-160 beats/min). This change alone is not usually indicative of immediate critical deterioration, especially without accompanying signs of hypoxemia or circulatory compromise.
Choice C rationale
A "quiet chest" following a previous assessment of wheezing in an infant with RSV is an ominous sign. Wheezing is caused by air moving through constricted airways. A sudden cessation of wheezing, despite persistent respiratory distress, suggests severe bronchoconstriction and impending respiratory failure, as airflow has become so minimal that it no longer produces audible sounds.
Choice D rationale
An oxygen saturation of 90% is below the acceptable normal range (typically 95-100%) and indicates hypoxemia, requiring attention and intervention. However, while concerning, it is not as immediately life-threatening as a "quiet chest" which signals impending respiratory arrest due to absent air movement.
Correct Answer is D
Explanation
Choice A rationale
While nutrition is important, Meals on Wheels primarily addresses food insecurity and nutritional support for homebound individuals. For tuberculosis, the most critical long-term need is adherence to a complex medication regimen, which is not directly addressed by meal delivery services.
Choice B rationale
Occupational therapy focuses on helping individuals return to work or daily activities, and while long-term illness can impact this, it's not the immediate priority for ensuring effective treatment and preventing drug resistance in tuberculosis management.
Choice C rationale
Physical therapy is concerned with mobility and physical function. While a client with a chronic illness might experience deconditioning, it is not the primary or most critical referral for successful long-term tuberculosis therapy, which heavily relies on medication adherence.
Choice D rationale
Directly observed therapy (DOT) by visiting nurses is crucial for ensuring medication adherence in tuberculosis treatment. This strategy significantly improves treatment completion rates, reduces the development of drug-resistant strains, and prevents further transmission by directly observing clients taking their medications, which is vital for a successful outcome.
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