Nokea
The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea. Which fluids are most appropriate?
- A. Room temperature water
- B. Carbonated beverages
- C. Iced fruit juice
- D. Cold milk
Correct Answer: A
Rationale: Room temperature fluids are the best. Carbonated and iced beverages increase spasm.
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What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include? (Select all that apply.)
- A. Inhale deeply through nose with mouth closed.
- B. Make exhalation twice as long as inhalation.
- C. Use medicated inhaler prior to perform breathing exercise.
- D. Exhale through mouth as if whistling.
- E. Exhale forcefully.
Correct Answer: A,B,D
Rationale: The technique requires that breath be inhaled through the nose and exhaled through pursed lips in a nonforceful manner.
What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?
- A. Before exercise to prevent attacks
- B. At the initial onset of the attack
- C. During the attack to relieve symptoms
- D. As often as 4 times a day
Correct Answer: A
Rationale: Anti-inflammatory inhalants are taken before exercise to prevent attacks.
The nurse describes the 'allergic salute' as a cluster of what signs related to chronic allergy? (Select all that apply.)
- A. Mouth breathing
- B. Transverse nasal crease
- C. Dark circles under the eyes
- D. Productive cough
- E. Reddened conjunctiva
Correct Answer: A,B,C,E
Rationale: The allergic salute does not include a productive cough.
What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- A. Pancreatic enzymes
- B. Water-soluble minerals
- C. Fat-soluble vitamins
- D. Salt supplements
Correct Answer: A
Rationale: An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce.
What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
- A. Stuffed toys
- B. Pet ownership
- C. Gymnastics
- D. Basketball
- E. Cotton blankets
Correct Answer: A,B,D
Rationale: Stuffed toys and pet ownership can trigger asthma due to allergens, and basketball requires prolonged energy output, which may exacerbate symptoms.