The school nurse assesses a child with a history of asthma who has an acute onset of wheezing. The initial action by the nurse is to:
1. Call 911 to request emergency medical assistance.
2. Call the child's parents to come and pick up the child.
3. Have the child use his metered-dose inhaler.
4. Have the child lie down to see if the symptoms subside.
3
Rationale:
1. Emergency personnel should be notified if the inhaler does not provide relief, and the child is in respiratory distress.
2. Parents can be notified if the child does not feel well, but this is not the initial action.
3. 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.
4. Having the child lie down likely will worsen his condition.
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