Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching her breath?

montelukast

Fluticasone

Prednisone

Albuterol

Answer and Explanation

The Correct Answer is D

A. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term asthma control and prevention of symptoms. It is not effective for treating acute bronchospasm or providing immediate symptom relief during an asthma attack.

B. Fluticasone: Fluticasone is an inhaled corticosteroid used regularly to reduce airway inflammation and prevent asthma symptoms. It does not work quickly enough to relieve acute symptoms like wheezing or shortness of breath.

C. Prednisone: Prednisone is a systemic corticosteroid used for moderate to severe asthma exacerbations, but its onset is delayed. It is typically given alongside a short-acting bronchodilator to reduce inflammation over several hours, not for quick relief.

D. Albuterol: Albuterol is a short-acting beta₂-agonist that works within minutes to relax bronchial smooth muscles, making it the medication of choice for immediate relief of acute asthma symptoms such as coughing, wheezing, and dyspnea.

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Correct Answer is C

Explanation

A. Nasal cannula:The nasal cannula provides low-flow oxygen with variable concentrations depending on the patient's respiratory rate and tidal volume. It does not deliver a precise or consistent oxygen concentration.

B. Simple face mask:The simple face mask delivers moderate concentrations of oxygen, generally between 40–60%, but it lacks a mechanism for precise control. Oxygen delivery fluctuates based on the patient’s breathing pattern and flow rate.

C. Venturi mask:The Venturi mask is designed to deliver a specific and consistent concentration of oxygen by using color-coded adaptors that mix oxygen with room air at fixed ratios. This makes it ideal for patients who require accurate oxygen titration, such as those with COPD.

D. Non-rebreather mask:A non-rebreather mask delivers high concentrations of oxygen (up to 90–100%) but does not allow for fine control of the exact oxygen percentage. It is used in emergencies when high oxygen delivery is needed, not for precise regulation.

A. lint-free pipe cleaner B. The inner cannula does not need to be dried before reinserting it into the outer cannula. C. Q-tip D. medical air

Correct Answer is A

Explanation

A. Lint-free pipe cleaner:A lint-free pipe cleaner is ideal for drying the inner cannula because it won’t introduce fibers or debris into the airway. It ensures that the cannula is thoroughly dried without increasing the risk of aspiration or airway irritation from lint.

B. The inner cannula does not need to be dried before reinserting it into the outer cannula:Moisture left inside the cannula can promote bacterial growth and lead to infection. Drying the cannula is an essential step to prevent microbial contamination and to maintain patency and safety.

C. Q-tip:Q-tips can shed fibers and are not suitable for internal tracheostomy components. Using them may lead to lint being introduced into the airway, increasing the risk of irritation or infection.

D. Medical air:Medical air is not used to dry tracheostomy components. It is not practical, and it may not fully dry narrow internal surfaces. Manual drying with a lint-free material is safer and more effective.

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Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching her breath?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which oxygen delivery device is best suited for a patient who requires a precise concentration of oxygen?

Correct Answer is C

Explanation

A nurse is teaching a newly hired LPN about trach care. The nurse should include that the inner cannula should be cleaned with a brush and then dried with a

Correct Answer is A

Explanation

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