Which interventions should be implemented for a pediatric client experiencing an asthma exacerbation? (SELECT ALL THAT APPLY)

Administer corticosteroid medications as prescribed

Place the client in a supine position

Encourage the client to engage in vigorous physical activity

Administer bronchodilator medications as prescribed

Apply cold compresses to the client's chest

Answer and Explanation

Correct Answer : A,D

A. Corticosteroids help reduce airway inflammation during an asthma exacerbation, which can help improve breathing and reduce symptoms.

D. Bronchodilator medications, such as albuterol, help relax the muscles around the airways, making it easier to breathe during an asthma exacerbation. They are typically used as rescue medications to provide immediate relief of asthma symptoms.

B. Placing the client in a supine position (lying flat on their back) is not recommended during an asthma exacerbation. This position can make breathing more difficult for someone experiencing respiratory distress.

C. Vigorous physical activity can exacerbate asthma symptoms and trigger an asthma attack. During an asthma exacerbation, it's important to encourage the client to rest and avoid strenuous activities that could worsen their breathing difficulties.

E. Cold compresses are not recommended for asthma exacerbations. Warm, moist air may help loosen mucus and ease breathing, but cold compresses could potentially exacerbate symptoms or discomfort.

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Correct Answer is A

Explanation

A. Prompt initiation of appropriate antibiotics is essential to prevent the spread of infection, alleviate symptoms, and promote healing.

B. Surgical debridement of necrotic tissue is often necessary for treating acute osteomyelitis, especially if there is extensive tissue damage or the formation of abscesses. Surgical intervention aims to remove infected and dead tissue, reduce bacterial load, and promote wound healing.

C. Antipyretic therapy, such as acetaminophen or ibuprofen, may be administered to reduce fever and alleviate associated symptoms in clients with acute osteomyelitis. While fever management is important for comfort and overall well-being, it may not be the immediate priority unless the fever is high or causing significant distress.

D. Adequate nutrition and hydration support immune function, tissue repair, and overall recovery. However, while important for long-term management, optimizing nutrition and hydration may not be the immediate priority unless the client is severely malnourished or dehydrated.

A. A private room with contact/droplet precautions B. A semi-private room with an infant who has croup C. A private room with protective isolation D. A semi-private room with a toddler who has pneumonia

Correct Answer is A

Explanation

A. This option is the most appropriate choice for an infant with respiratory syncytial virus (RSV). RSV is highly contagious and primarily spreads through respiratory secretions. Placing the infant in a private room helps to minimize the risk of transmission to other patients. Contact and droplet precautions should be implemented to further prevent the spread of the virus.

B. This choice is not ideal because both RSV and croup are respiratory infections that can spread easily among infants. Placing an infant with RSV in a semi-private room with another infant increases the risk of transmission of both infections to each other.

C. While isolating the infant in a private room is appropriate for preventing the spread of RSV, the term "protective isolation" typically refers to a type of isolation used for patients who have compromised immune systems.

D. Placing the infant with RSV in a semi-private room with a toddler who has pneumonia is not recommended. Both RSV and pneumonia are respiratory infections that can spread easily among patients, especially infants and young children who are more susceptible to complications.

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Which interventions should be implemented for a pediatric client experiencing an asthma exacerbation? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

Correct Answer is A

Explanation

A nurse is assisting with the admission of an infant who has respiratory syncytial virus (RSV). Which of the following rooms should the nurse assign the infant?

Correct Answer is A

Explanation

A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical history from the parent, the nurse should recognize which of the following findings as significant?

The nurse is providing instructions about how to treat a sprained ankle. What statement by the mother does the nurse recognize as indicative of a need for additional teaching?

A nurse is collecting data from a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select All that Apply.)

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