ATI Video Case Study Pediatric Asthma

A nurse is teaching a school-age child about using a peak expiratory flow meter (PEFM). Which of the following statements should the nurse include in the teaching?

"Record the highest of the three readings." (The nurse should instruct the client to perform the process three times, waiting 30 seconds between each time. The client should record the highest, and not the average, of the three readings.)

A nurse is teaching the parents of a child who has asthma about methods to decrease the child's exposure to allergens. Which of the following statements should the nurse include?

"Wet-dust your child's room once per week." (The nurse should instruct the parents to wet-dust and wet-mop the child's room at least once per week. The parents should also vacuum all carpets and furniture weekly using a HEPA filter. This will decrease the child's exposure to airborne irritants and allergens that can trigger an asthma attack.)

A nurse is caring for an adolescent who is experiencing status asthmaticus. Which of the following actions should the nurse take?

Administer humidified oxygen. (The nurse should administer humidified oxygen to maintain the adolescent's oxygen saturation greater than 90%. The nurse should also maintain continuous cardiorespiratory monitoring and be prepared to intubate the client if respiratory arrest occurs.)

A nurse is teaching the parents of a school-age child who has asthma about a rescue medication to use during an acute asthma attack. Which of the following medications should the nurse include in the teaching?

Albuterol (The nurse should instruct the parents that albuterol is a short-acting bronchodilator that alleviates bronchospasm during acute asthma attacks. It has a rapid onset of 5 to 15 min when inhaled. Albuterol is also used to prevent exercise-induced asthma attacks.)

A nurse is assessing a school-age child who has asthma and is experiencing a severe exacerbation. Which of the following findings should the nurse expect?

Suprasternal retractions (A child who is experiencing a severe exacerbation of asthma will exhibit use of accessory muscles and suprasternal retractions. Other manifestations include breathlessness while at rest, agitation, tachypnea, loud wheezes on inspiration and expiration, and a SaO2 less than 90%.)