Author Question: A child is admitted after a severe asthma attack. Respiratory status is stable at this time. Which ... (Read 109 times)

bcretired · **on:** Jun 28, 2018

A child is admitted after a severe asthma attack. Respiratory status is stable at this time. Which is the priority intervention for this child?

A.
Determining the trigger
B.
Ensuring hydration
C.
Promoting rest
D.
Providing support

Question 2

A nurse is planning a seminar to address asthma in the community. To have the greatest impact, which demographic group should the nurse target?

A.
African American children
B.
Children with allergies
C.
Inner-city youth, all ethnicities
D.
School-age children

mceravolo · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Priorities in any emergency are airway, breathing, and circulation. Because the respiratory status is now stable, attention is placed on ensuring that the child is hydrated. This is important for two reasons: first, hydration helps liquefy secretions; second, the mouth-breathing child will have lost a great deal of fluid through insensible loss, which needs to be replaced. All other options are important parts of care of this child; however, hydration is the priority.

Answer to Question 2

ANS: A
African American children have a 60 higher prevalence of asthma, a 260 higher rate of emergency department visits, a 250 higher hospitalization rate, and a 500 higher mortality rate than white children. To have the greatest impact on this chronic disease, the nurse should target African American children and their parents/guardians and caretakers. Up to 40 of children with asthma have no allergies. Low socioeconomic status is a risk factor, not living in an inner city specifically. Children of all ages are affected.