Which statement by an 8-year-old female client with asthma indicates that she understands using a peak expiratory flow meter?
"My peak flow meter can tell me if an asthma episode might be coming, even though I might still be feeling okay."
"always start with the meter reading about halfway up. That way, I don't waste any breath."
use my peak flow meter daily; I will not have an asthma attack."
"When I do my peak flow. I work best if I do three breaths without pausing between breaths."
The Correct Answer is A
A. This statement reflects a proper understanding of the peak flow meter’s purpose — it can help detect early changes in airway function before symptoms are felt, allowing for early intervention and improved asthma control.
B. This reflects a misunderstanding of the correct technique — the meter should be reset to zero before each use, and the child should use a full, fast breath to blow into the meter.
C. While daily monitoring is helpful, the peak flow meter does not prevent asthma attacks — this statement reflects false reassurance and misunderstanding.
D. Peak flow should be measured with a single, forceful breath, not multiple breaths — this indicates incorrect use of the device.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Peak expiratory flow meters should be used daily, not just once per week, to help monitor lung function and detect early signs of worsening asthma.
B. Children with asthma do not need to stop playing sports, including basketball. With proper management and medication (e.g., using a bronchodilator before exercise), most children can participate in physical activities.
C. Cromolyn sodium is a mast cell stabilizer used as a preventive medication, not to relieve acute symptoms. It is taken regularly to prevent attacks, not at the onset of breathing difficulty.
D. A key component of asthma education is identifying and avoiding known triggers, such as allergens, smoke, cold air, or exercise without pre-treatment. Avoiding these triggers can help prevent exacerbations.
Correct Answer is A
Explanation
A. This response is clear, professional, and factual. Nurses are mandated reporters and are legally obligated to report any suspicion of child abuse, regardless of confirmation. This statement provides an appropriate explanation without placing blame or making accusations.
B. While involving a supervisor can be helpful, avoiding the question may increase tension and does not clarify the nurse’s legal duty.
C. Deflecting to the provider fails to acknowledge the nurse’s role and responsibility in mandated reporting.
D. This response shifts responsibility and may imply blame or avoid accountability, which is not appropriate or professional.
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