While at school, a school-aged child with a history of asthma develops feelings of tight chest and cough. Which medication would the school nurse need to administer?
Inhaled steroid
Oral leukotriene modifiers
Inhaled beta agonist
Oral steroids
The Correct Answer is C
A. Inhaled steroid: Inhaled corticosteroids are used for long-term control of asthma and are not typically used during an acute asthma attack. They work by reducing inflammation, but they do not provide immediate relief of bronchoconstriction.
B. Oral leukotriene modifiers: Leukotriene modifiers are used for long-term asthma management, but they are not effective in providing quick relief during an acute asthma attack.
C. Inhaled beta agonist: Beta agonists (e.g., albuterol) are the first-line treatment for quick relief during an asthma attack. They work by relaxing the muscles around the airways to improve airflow and relieve symptoms like chest tightness and coughing.
D. Oral steroids: Oral steroids (e.g., prednisone) are used for severe asthma exacerbations, but they are not used as the first-line treatment for quick relief of symptoms like tight chest and cough. They take time to reduce inflammation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Are you aware that your son will have to be in isolation?": Acute rheumatic fever does not typically require isolation, so this is not the most relevant question.
B. "Has your child had any injuries recently?": This question is not specifically related to acute rheumatic fever, which is caused by a preceding streptococcal throat infection, not injuries.
C. "Has your son had a sore throat recently?": This is the most appropriate question, as acute rheumatic fever is a complication that can follow a streptococcal throat infection, so identifying a history of recent sore throat is key.
D. "Was your son born with this cardiac defect?": Rheumatic fever is an acquired condition, not a congenital defect.
Correct Answer is A
Explanation
A. Both parents are carriers of the CF gene: Cystic fibrosis follows an autosomal recessive inheritance pattern, meaning both parents must carry one copy of the defective gene, even if they do not have the disease themselves. The child inherits one copy of the defective gene from each parent to develop CF.
B. The inheritance pattern is multifactorial: CF is not a multifactorial disease; it follows a clear recessive genetic inheritance pattern.
C. The result is probably a genetic mutation: CF is caused by a genetic mutation, but this mutation is inherited from both parents. It is not usually a spontaneous mutation unless it occurs in the parental genetic material, which is rare.
D. Only one parent carries the CF gene: For the child to inherit CF, both parents must be carriers of the gene. If only one parent carries the gene, the child would be a carrier, not affected by the disease.
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