Sabina Vasquez

The nurse is educating the patient on how to use a metered-dose inhaler with a spacer properly. Place the following tasks in the appropriate order.

)Shake the inhaler and remove the cap. 2)Attach the inhaler to the spacer. 3)Put spacer mouthpiece in the mouth. 4)Compress the inhaler and breathe in slowly. 5)Hold breath while counting to 10.

A pediatric patient is brought to the clinic in respiratory distress. Upon assessment, the nurse notes that the patient is drowsy and pale and can only speak in short sentences. The pulse oximeter reading shows oxygen saturations of 88%. What action should the nurse take first?

Administer oxygen at 10 L/min via nonrebreather mask

Several months later, Sabina is brought back to the clinic for an acute asthma exacerbation that occurred while playing soccer. Which statement by her mother indicates that teaching has been effective? (Select all that apply.)

Her asthma was caused by her playing soccer., I need to make sure that she has her rescue inhaler with her at all times., Next time, I will be sure to give her the bronchodilator before soccer

What is the best position in which to place a 5-year-old patient who is alert and experiencing respiratory distress to promote optimal respiratory function?

High Fowler's

Which statement by Sabina's mother best indicates her understanding of controlling allergens as a component of asthma management?

I will replace the carpet in Sabina's room with hardwood flooring and mop weekly.

Which statement by a patient with severe persistent asthma indicates proper understanding of the use of controller medications? (Select all that apply.)

I will rinse my mouth out after using my corticosteroid inhaler., I will take my long-acting bronchodilator at the same time daily using a spacer.

A nurse is working with a patient who is having an acute asthma exacerbation. Which of the following would be the priority nursing diagnosis for the patient?

Ineffective airway clearance related to inflammation

While observing a patient demonstrating proper use of a peak flow meter, the nurse would expect the patient to demonstrate the following steps in which order?

1)Shake the arrow down to "0." 2)Stand up straight and take a deep breath. 3)Close lips tightly around mouthpiece. 4)Blow out hard and fast. 5)Note the number the arrow moves to. 6)Repeat two more times and record the highest reading.

A nurse is providing instruction to the parent of child with asthma regarding the effects of the medication the child has been prescribed. Which of the following correctly describes the mechanism of action of a short-acting β2-agonist?

Causes smooth muscle relaxation resulting in bronchodilation

A patient with mild intermittent asthma arrives at the clinic with a several-day history of upper respiratory infection and audible wheezing. What is the priority action for the nurse to take at this time?

Check the patient's airway for patency and complete a focused respiratory assessment.

The nurse is assessing a 5-year-old patient with suspected asthma. Which factors from the health history suggest asthma or a risk for asthma? (Select all that apply.)

Cough, especially at night, Seasonal pollen allergies, Dyspnea with exercise

A patient received a short-acting β2-agonist (albuterol) via metered-dose inhaler (MDI) for wheezing. Before the treatment, the patient's heart rate was 100, but now it is 125. The other vital signs are within normal limits. The patient reports feeling "a little shaky," but is otherwise fine. What is the most appropriate nursing action at this time?

Document the patient's response to treatment and explain it to the patient and family

When teaching Sabina and her mother proper use of a peak flow meter, what is the best way for the nurse to determine whether the teaching has been effective?

Have Sabina demonstrate use of the peak flow meter with help from her mother

During assessment, the patient reports shortness of breath every day that requires the use of a rescue inhaler, along with nighttime coughing and trouble sleeping a few nights per week. The patient would be classified as having which of the following levels of asthma severity?

Moderate persistent

When teaching Sabina about asthma management, which developmentally appropriate interventions would the nurse include to promote self-care? (Select all that apply.)

Provide her with both a spacer with a mouthpiece and one with a mask, Allow her to prepare the meter and obtain peak flow with supervision

A nurse is assessing a 5-year-old who is experiencing respiratory difficulty. Which of the following are early signs of respiratory distress in infants and children?

Restlessness and tachypnea

The nurse is caring for a patient in respiratory distress. Fifteen minutes ago, the nurse heard audible wheezing and intervened by raising the head of the bed and applying 100% oxygen at 10 L/min via a nonrebreather mask. On reassessment, which findings are most concerning?

Tripod position and absence of wheezing with diminished breath sounds throughout

When caring for Sabina, whose mother speaks Spanish and has limited proficiency in English, what is the best method for the nurse to use when communicating medical information to the mother?

Use a medical interpretation service for communication

The nurse has just explained the asthma action plan to a school-aged child. Which statement by the patient best indicates understanding of the asthma action plan?

When I am in the red zone, I will take my rescue medication and call or see my doctor.