A child with a history of asthma presents to the school nurse complaining of wheezing. The nurse assesses the child and notes that the respiratory rate is 36 and expiratory wheezes are heard throughout the lung field

Question

The child's oxygen saturation is 98%. Which is the best initial action by the nurse? 1. Call the child's parents to come pick up the child.
2. Have the child use his metered-dose inhaler.
3. Call 911 to request emergency medical assistance.
4. Have the child lie down to see if the symptoms subside.

Answer 1

2
Rationale 1: Parents may be notified if the child does not feel well, but this is not the initial action.
Rationale 2: A child with a history of asthma might 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.
Rationale 3: Emergency personnel should be notified if the inhaler does not provide relief and the child develops respiratory distress.
Rationale 4: Having the child lie down likely will worsen his condition.
Global Rationale: