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.
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When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report?
- A. Respiration rate decreases from 40 to 32 breaths/minute
- B. Heart rate decreases from 110 to 100 beats/minute
- C. Quiet chest' from previous assessment of wheezing
- D. Oxygen saturation of 90%
Correct Answer: C
Rationale: A 'quiet chest' after assessment of wheezing indicates occlusion of air pathways and impending respiratory arrest.
The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply.)
- A. Swimming
- B. Gymnastics
- C. Baseball
- D. Cross-country skiing
- E. Distance running
Correct Answer: A,B,C
Rationale: Sports that require bursts of energy rather than long-term output of energy are suitable pursuits for asthmatics.
The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent?
- A. Discoloration of tooth enamel
- B. Halitosis
- C. Irritation of oral membranes
- D. Candidiasis
Correct Answer: D
Rationale: Inhalant powders can cause candidiasis (yeast) infection of the mouth.
What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?
- A. A popsicle
- B. Chocolate milk
- C. Orange juice
- D. Cola drink
Correct Answer: A
Rationale: Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural juices. A popsicle is usually well-tolerated.
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.
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