The nurse is preparing a staff education program about pediatric asthma. What concepts should the nurse include when discussing the asthma severity classification system? (Select all that apply.)
a. Children with mild persistent asthma have nighttime signs or symptoms less than two times a month.
b. Children with moderate persistent asthma use a short-acting ?-agonist more than two times per week.
c. Children with severe persistent asthma have a peak expiratory flow (PEF) of 60% to 80% of predicted value.
d. Children with mild persistent asthma have signs or symptoms more than two times per week.
e. Children with moderate persistent asthma have some limitations with normal activity.
f. Children with severe persistent asthma have frequent nighttime signs or symptoms.
ANS: D, E, F
Children with mild persistent asthma have signs or symptoms more than two times per week and nighttime signs or symptoms three or four times per month. Children with moderate persistent asthma have some limitations with normal activity and need to use a short-acting ?-agonist for sign or symptom control daily. Children with severe persistent asthma have frequent nighttime signs or symptoms and have a PEF of less than 60%.
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