A primary care NP sees a child with asthma to evaluate the child's response to the prescribed therapy. The child uses an ICS twice daily and an albuterol metered-dose inhaler as needed. The child's symptoms are well controlled
The NP notes slowing of the child's linear growth on a standardized growth chart. The NP should change this child's medication regimen to a: a. combination ICS/LABA inhaler twice daily.
b. short-acting 2-agonist (SABA) with oral corticosteroids when symptomatic.
c. combination ipratropium/albuterol inhaler twice daily.
d. SABA as needed plus a leukotriene modifier once daily.
D
A leukotriene modifier may be used as an alternative to ICS for children who experience systemic side effects of the ICS. This child's symptoms are well controlled, so there is no need to step up therapy to include a LABA. Oral corticosteroids should be used only for severe exacerbations. Ipratropium and albuterol are used for severe exacerbations.
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The nurse is caring for a patient receiving chemotherapy for breast cancer. The patient has developed a sore mouth, nausea and vomiting, and anorexia. How should the nurse respond to the patient's report of symptoms?
1. "You may be developing the flu, and I can give you an antinausea medication." 2. "These are symptoms of your cancer, and more frequent oral care will help." 3. "You may be allergic to the chemotherapy. I will place a call to the health care provider." 4. "These are the expected side effects of your chemotherapy, and the health care provider has already ordered some medications that will help."
Which term is described as a personal consciousness of the moral importance that guides personal action in a particular situation?
a. Dilemma c. Ethic b. Problem d. Moral integrity
The percentage of non-institutionalized elderly over age 75 with limitations in activity due to a chronic condition is
A. 25% B. Nearly 50% C. Over 75% D. Less than 15%