A child with a history of asthma is actively wheezing. Which is ...

[JMatthes]

A child with a history of asthma is actively wheezing. Which is the best initial action by the nurse?
 
  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.

Question 2

A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the child's urine is orange. The nurse should advise the parents to:
 
  1. Encourage the child to drink cranberry juice.
  2. Expect orange-colored urine while the child is on rifampin.
  3. Bring the child to the clinic for a urinalysis.
  4. Bring the child to the clinic for a radiograph of the kidneys.

[k2629]

Answer to Question 1

3
Rationale:
1. Emergency personnel should be notified if the inhaler does not provide relief and the child is in respiratory distress.
2. Parents may 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.

Answer to Question 2

2
Rationale 1: Orange urine does not mean the child has a urinary tract infection, and a urinalysis, radiograph, and encouragement of cranberry juice would not be options.
Rationale 2: Rifampin can color the urine orange, so the parents and child should be taught that this is an expected side effect.
Rationale 3: Orange urine does not mean the child has a urinary tract infection, and a urinalysis, radiograph, and encouragement of cranberry juice would not be options.
Rationale 4: Orange urine does not mean the child has a urinary tract infection, and a urinalysis, radiograph, and encouragement of cranberry juice would not be options.
Global