The school nurse assesses a child with a history of asthma who has had an acute onset of wheezing. The initial action by the nurse is to
1. call 911 to request emergencymedical assistance.
2. call the child's parents to come andpick up the child.
3. have the child use his metered-doseinhaler.
4. have the child lie down to see if thesymptoms subside.
Answer:3
Rationale: A child with a history of asthma may have episodes of wheezing that can be controlled by prompt use of the child's rescue inhaler. An inhaler should be readily available in the school setting for a child previously diagnosed with asthma. This should be tried first.Emergency personnel should be notified if the inhaler does not provide relief and the child is in respiratory distress.Parents may be notified if the child does not feel well,but this is not the initial action.Having the child lie down will likely worsen his condition.
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