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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Cyanosis with crying: Cyanosis is typically seen in cyanotic heart defects, not in PDA, which is acyanotic.

B. Machine-like murmur: Characteristic of PDA due to continuous blood flow between the aorta and pulmonary artery.

C. Chronic hypoxemia: PDA usually leads to left-to-right shunting, not hypoxemia.

D. Weak pulses: Pulses are typically bounding due to increased blood flow, not weak.

A. Hoarseness B. Barky cough C. Drooling D. Paroxysmal attacks of laryngeal spasm at night

Correct Answer is C

Explanation

A. Hoarseness: Hoarseness is a common symptom of croup and is usually not an immediate concern unless accompanied by other severe symptoms.

B. Barky cough: A barky cough is characteristic of croup and is not an indication of immediate concern unless it worsens.

C. Drooling: Drooling can be a sign of respiratory distress and difficulty swallowing, which can indicate a worsening condition such as epiglottitis, a more serious infection that can occur with croup. Drooling is a red flag and requires immediate medical attention.

D. Paroxysmal attacks of laryngeal spasm at night: Paroxysmal attacks (episodes of severe coughing or difficulty breathing) are typical of croup, especially at night, but are usually self-limited and not an immediate cause for concern unless severe.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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