A school nurse is caring for a 10-year-old girl who is having an asthma attack. What is the preferred intervention to alleviate this client's airflow obstruction?

A) Administer corticosteroids by metered dose inhaler
B) Administer inhaled anticholinergics
C) Administer an inhaled beta-adrenergic agonist
D) Utilize a peak flow monitoring device


Ans: C
Feedback:
Asthma exacerbations are best managed by early treatment and education of the patient. Quick-acting beta-adrenergic medications are the first used for prompt relief of airflow obstruction. Systemic corticosteroids may be necessary to decrease airway inflammation in patients who fail to respond to inhaled beta-adrenergic medication. A peak flow device will not resolve short-term shortness of breath.

Nursing

You might also like to view...

When caring for the patient with AIDS who has cutaneous Kaposi's sarcoma, the nurse would report signs of:

1. nausea. 2. fatigue. 3. abdominal pain. 4. weight loss.

Nursing

A client weighs 204 lb and is 6 ft tall. The prescriber orders a dose of 2 mcg. Is this an accurate dose?

What will be an ideal response?

Nursing

When discussing the possible side effects of a new medication, the nurse asks about allergies to dyes because the manufacturer's list on contents includes:

1. Lactose. 2. Sorbital. 3. Sulfites. 4. Tartrazine.

Nursing

The nurse is preparing to provide wound care for her patient. She realizes that the most effective way to decrease the bacterial count on her hands is to wash her hands using:

a. soap and water only. b. a nonalcohol antiseptic alone. c. a 50% alcohol-based antiseptic alone. d. a 60% to 95% alcohol-based antiseptic alone.

Nursing