A preschool child has asthma, and a goal is to extend expiratory time and increase expiratory effectiveness. What action should the nurse implement to meet this goal?
a. Encourage increased fluid intake.
b. Recommend increased use of a budesonide (Pulmicort) inhaler.
c. Administer an antitussive to suppress coughing.
d. Encourage the child to blow a pinwheel every 6 hours while awake.
ANS: D
Play techniques that can be used for younger children to extend their expiratory time and increase expiratory pressure include blowing cotton balls or a ping-pong ball on a table, blowing a pinwheel, blowing bubbles, or preventing a tissue from falling by blowing it against the wall. Increased fluids, increased use of a Pulmicort inhaler, or suppressing a cough will not increase expiratory effectiveness.
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