The school nurse is preparing a plan of care specific to several children in the school who have asthma. What is the initial action on the plan of care?
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 or her metered-dose inhaler.
4. Have the child lie down to see if the symptoms subside.
Correct Answer: 3
Rationale: A child with a history of asthma may 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. Emergency personnel should be notified if the inhaler does not provide relief and the child is in respiratory distress. Parents may be notified if the child does not feel well, but this is not the initial action. Having the child lie down will likely worsen his condition.
You might also like to view...
When explaining the stages of growth and development to new parents, the nurse lists them in order. List the following stages in order of occurrence. Standard Text: Click and drag the options below to move them up or down
1. Toddler 2. Adolescent 3. Neonate 4. Preschooler 5. Infant 6. School-age child
A pediatric nurse listens while a mother describes her toddler's eating habits. The mother states that her daughter "refuses to eat vegetables at mealtime" and "wants peanut butter sandwiches for every meal."
Which action by the nurse is the most appropriate? A. Encourage the mom to keep trying to get the child to eat vegetables. B. Reassure the mother that this behavior is normal for a toddler. C. Refer the mother to a pediatric dietician for unmet nutritional needs. D. Teach the mother this behavior puts the child at risk for eating disorders.
During the assessment of an 80-year-old female who has recently been admitted to the long-term care facility, the resident mentions to the nurse about her ongoing problems with urinary frequency
The nurse would recognize which of the following age-related changes as contributing to the resident's health problem? A) Neurogenic deterioration of bladder control B) Cognitive changes inhibiting the micturition urge C) Hypertrophy of the bladder muscle and thickening of the bladder D) Decreased tone of the urethral sphincters
The nurse is completing an assessment on a client with myasthenia gravis. Which of the following historical recounting provides the most significant evidence regarding when the disorder began?
A) Shortness of breath B) Sensitivity to bright light C) Muscle spasms D) Drooping eyelids