Author Question: A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor ... (Read 56 times)

lindiwe · **on:** Jul 22, 2018

A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma. The child has been frustrated at first but now is able to state the reason for using the meter on a daily basis.

Remembering the growth and development characteristics of the preadolescent, which of the following is an appropriate response by the nurse? 1. You should feel very proud for understanding and using your meter..
2. Think of using the meter as one of your daily chores..
3. Maybe you could make a game out of the daily use of your meter..
4. It's too bad if you don't want to use the meter, it's just something you'll have to do..

Question 2

A client is admitted with complaints of shortness of breath of 2 weeks duration. Which of the following laboratory findings would support the finding that the client is at risk for an alteration in perfusion?

1. Increased hematocrit
2. Decreased BUN
3. Increased blood sugar
4. Increased sedimentation rate

aprice35067 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. You should feel very proud for understanding and using your meter..

Rationale:
It is generally accepted that positive reinforcement changes behavior. Chores often have negative associations for children, so suggesting that the child compare using the meter to chores may not provide the expected outcome. Using the meter is not a game; it is serious. It is not appropriate to make a game out of something as serious as a meter. A negative comment will not affect behavior change.

Answer to Question 2

1. Increased hematocrit

Rationale:
Hematocrit is the percentage of the blood that is erythrocytes, which contain the hemoglobin that carries oxygen. Long-term hypoxia may result in the body's attempt to increase oxygen-carrying capacity by increasing erythrocyte production. This can lead to an alteration in the client's perfusion. BUN is a measure of blood urea nitrogen, not oxygen-carrying capacity. Increases in blood sugar and sedimentation rate are not directly a measure of oxygenation.