A preschool child has asthma, and a goal is to extend expiratory ...

[elizabeth18]

A preschool child has asthma, and a goal is to extend expiratory time and increase expiratory effectiveness. What action should the nurse implement to meet this goal?
 
  a. Encourage increased fluid intake.
  b. Recommend increased use of a budesonide (Pulmicort) inhaler.
  c. Administer an antitussive to suppress coughing.
  d. Encourage the child to blow a pinwheel every 6 hours while awake.

Question 2

A quantitative sweat chloride test has been done on an 8-month-old child. What value should be indicative of cystic fibrosis (CF)?
 
  a. Less than 18 mEq/L
  b. 18 to 40 mEq/L
  c. 40 to 60 mEq/L
  d. Greater than 60 mEq/L

[whitcassie]

Answer to Question 1

ANS: D
Play techniques that can be used for younger children to extend their expiratory time and increase expiratory pressure include blowing cotton balls or a ping-pong ball on a table, blowing a pinwheel, blowing bubbles, or preventing a tissue from falling by blowing it against the wall. Increased fluids, increased use of a Pulmicort inhaler, or suppressing a cough will not increase expiratory effectiveness.

Answer to Question 2

ANS: D
Normally sweat chloride content is less than 40 mEq/L, with a mean of 18 mEq/L. A chloride concentration greater than 60 mEq/L is diagnostic of CF; in infants younger than 3 months, a sweat chloride concentration greater than 40 mEq/L is highly suggestive of CF.

[elizabeth18]

Thank you

[whitcassie]

Happy to help you