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.
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A child is being assessed for acute poststreptococcal glomerulonephritis (APSGN). Which of the following findings should the nurse expect?
- A. Hematuria
- B. Polyuria
- C. Hypertension
- D. Diarrhea
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
Why is it important to share information with the family about why you are asking certain things as you evaluate the child?
- A. It helps them to understand the role of occupational therapy
- B. It establishes your goals with the family up front
- C. It communicates your level of expertise to the family
- D. It allows them to understand your point of view
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which parental statement indicates correct understanding of preventive techniques for heat-related illnesses when children exercise?
- A. Wearing dark clothing during exercise is not recommended.
- B. Water is the preferred fluid for fluid replenishment.
- C. During activity, stopping for fluids every 15 to 20 minutes is essential.
- D. Hydration should be maintained throughout the exercise session.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child is being assessed for possible appendicitis with perforation. Which of the following findings should the nurse expect?
- A. Hyperactive bowel sounds
- B. Abdominal distension
- C. Hypoactive bowel sounds
- D. Bradycardia
Correct Answer: D
Rationale: In a child with appendicitis and possible perforation, the nurse should expect bradycardia due to peritoneal irritation. Bradycardia is a common response to peritoneal inflammation or infection, indicating a possible serious complication. Hyperactive bowel sounds, abdominal distension, and hypoactive bowel sounds are more commonly associated with other gastrointestinal conditions and are less likely to be present in a child with appendicitis and perforation.