Nokea
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
- A. You should give your child his salmeterol inhaler every 4 hours when he is having an acute episode of wheezing.
- B. You should monitor your child's weight weekly while he is receiving inhaled corticosteroid therapy.
- C. Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy.
- D. When using the peak expiratory flow meter, record your child's average of three readings.
Correct Answer: C
Rationale: The nurse should inform the parent that the child will need pulmonary function tests every 12 to 24 months to assess lung function and response to treatment. These tests help evaluate the presence of lung disease, monitor disease progression, and assess the effectiveness of the current therapeutic regimen in managing asthma.
You may also like to solve these questions
During a home care visit for an infant diagnosed with gastroesophageal reflux, which parental action observed requires intervention by the nurse?
- A. The infant's formula is mixed with rice cereal.
- B. The mother positions the infant in a high Fowler position while feeding.
- C. After feeding, the infant is placed in a car seat.
- D. The mother administers ranitidine (Zantac) to the infant using a syringe.
Correct Answer: C
Rationale: Placing an infant diagnosed with gastroesophageal reflux in a car seat after feeding can increase the risk of reflux and aspiration. The semi-upright or high Fowler position is recommended to help reduce reflux symptoms during feeding. Adding rice cereal to formula can help thicken it and reduce reflux episodes. Administering ranitidine using a syringe is a common method of oral medication administration.
During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with:
- A. electrolyte disturbances.
- B. immune deficiencies.
- C. pulmonary hypertension.
- D. respiratory tract infections.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Abrupt withdrawal of baclofen may cause
- A. depression
- B. drowsiness
- C. headache
- D. seizure
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which urinalysis result should the nurse anticipate for a child admitted with acute glomerulonephritis?
- A. Bacteriuria and increased specific gravity
- B. Hematuria and proteinuria
- C. Proteinuria and decreased specific gravity
- D. Bacteriuria and hematuria
Correct Answer: B
Rationale: In acute glomerulonephritis, the glomeruli become inflamed, leading to the leakage of red blood cells (hematuria) and proteins (proteinuria) into the urine. These are hallmark findings in this condition due to the damage to the glomerular filtration barrier. Bacteriuria, presence of bacteria in the urine, is not typically associated with acute glomerulonephritis unless there is a concurrent urinary tract infection. Specific gravity may be normal or decreased due to the loss of proteins in the urine, rather than increased. Therefore, the correct anticipated urinalysis result for a child with acute glomerulonephritis is hematuria and proteinuria.
A parent of a child with HIV is being educated by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
- A. I will notify my child's school about their condition.
- B. I will give my child the prescribed antiretroviral medication at regular intervals.
- C. I will expect my child to receive yearly immunizations.
- D. I will bring my child in for yearly skin testing.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.