The nurse admits a 14-month-old infant with a history of prematurity, born at 25 weeks' gestation, to the pediatric unit
The mother reports that the infant has had several episodes of sudden respiratory distress with coughing, shortness of breath, circumoral cyanosis, and retractions. When the client is diagnosed with asthma, the mother asks the nurse, "Will this be a problem he'll have for the rest of his life?" The nurse's best response is: 1. "Yes, but there are ways to reduce the frequency of episodes."
2. "It's possible this could be a lifelong problem, or he could outgrow it as he grows."
3. "Everyone is different, so it's hard to predict what will happen."
4. "He will probably always be asthmatic because he was born prematurely."
2
Rationale: Children with asthma could outgrow it, and they might have no further episodes after age 7-11, or it can be a lifelong condition. While it is not possible to predict, that answer provides insufficient information to the parent. Identifying triggers for asthma attacks can reduce the frequency, so part of this option is true. Prematurity increases the risk for asthma but does not indicate whether the condition will improve or disappear when the child ages.
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