Peak Flow Meter

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Children with asthma will frequently be tested using a Peak Flow meter do determine the severity of their asthma, especially during an exacerbation

Lessons Related To Peak Flow Meter

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Asthma Concept Map

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Nursing Care Plan (NCP) for Asthma / Childhood Asthma

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8 Nursing Care Plan (NCP) for Asthma / Childhood Asthma NCLEX Questions

Question 1 of 8

The nurse is caring for a client in status asthmaticus. Which of the following is a priority nursing action?

Provide emotional support

Administer aminophylline IV per provider order

Give inhaled bronchodilator therapy as ordered

Monitor the client's respiratory status for signs of hypoxia

Question 2 of 8

Which of the following are risk factors for asthma exacerbation? Select all that apply.

Exercise

Infections

Anxiety

Cold weather

Allergens

Question 3 of 8

The nurse is caring for a 7-year-old child with asthma. The nurse should identify which of the following as being the most concerning behavior exhibited by the child??

The child flinches when you insert the IV

The child has substernal and intercostal retractions

The child is unable to speak in complete sentences

The child’s SpO2 is reading 98 % on 2 L O2 via NC

Question 4 of 8

The nurse is caring for a client with asthma who must receive regular breathing treatments. Which of the following are adverse drug reactions for bronchodilators? Select all that apply.

Back pain

Headache

Palpitations

Tachycardia

Sneezing

Question 5 of 8

An 8-year-old who has just been diagnosed with asthma wants to know why it is important to take the medication fluticasone on a daily basis. Which of the following statements by the nurse should be included?

“Fluticasone is a steroid that provides quick relief for when you are having bronchospasms”

“Fluticasone is a pill that you need to take daily to help alleviate allergies”

“Fluticasone is an inhaled steroid that helps prevent inflammation in your lungs”

“Fluticasone is an inhaled B-Adrenergic agonist that is a rescue medication for when you can’t breath”

Question 6 of 8

The nurse providing care to a 10-year-old that presented to the ER with an asthma exacerbation knows to be most concerned by which of the following assessment findings?

Hyperresonance on percussion

A hacking, non-productive cough

A silent chest

Prolonged expiration

Question 7 of 8

The clinic nurse is assessing a 17-year-old client’s management of asthma. The nurse notes that the client is NOT ready to transition out of pediatric care and into adult care based on which of the following?

The asthma is stabilized, but not improving

The client is having difficulty adhering to the current treatment plan

The client expresses sadness about having a chronic condition

The client set a goal of zero asthma exacerbations for one month

Question 8 of 8

A nurse demonstrates how to use a metered-dose inhaler to a client with asthma. Which of the following elements should the nurse include as part of this teaching? Select all that apply.

Shake the asthma inhaler well before using the inhaler

Do not use the inhaler again for at least 5 minutes after the first dose

Press the canister while taking a slow, deep breath

Use a spacer between the mouthpiece and spacer if one is available

Immediately breathe out after inhaling the medication

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Score an 80% or better on these Nursing Care Plan (NCP) for Asthma / Childhood Asthma questions to master this lesson.

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Asthma

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10 Pediatric Asthma [NextGen] NCLEX Questions

Question 1 of 10

The nurse knows that which of the following medications is commonly used to help prevent Exercise-induced bronchospasm?

Omalizumab

Montelukast sodium

Salmeterol

Ipratropium

Question 2 of 10

The nurse caring for a client diagnosed with asthma knows that spirometry is not a reliable treatment option until a child reaches which of the following ages?

9-10 years

5-6 years

7-8 years

3-4 years

Question 3 of 10

EHR for Patient

Open

Patient Description Nurses Notes History and Physical Flow Sheet

Call received on triage line. Father of 8-year-old states his son is having “coughing spells” for the last 24 hours with increasing frequency. Father denies cyanosis, but reports some “sucking in” between the ribs. Father denies presence of fever. Reluctantly admits running out of his son’s daily control inhaler about a month ago.

The nurse instructs the father to bring the child in to the pediatrician for an assessment.

Past Medical History includes asthma, eczema, and seasonal allergies.

Patient presents to the pediatrician’s office for assessment of respiratory symptoms. Patient in supine position and is alert, following commands, but slightly agitated. Ear pain noted to right side on inspection. Audible S1S2 with HR135bpm. Capillary refill 3 seconds. Inspiratory and expiratory wheezing throughout lung fields. Substernal and intercostal retractions noted. RR28bpm. O2 92% on room air. Hypoactive bowel sounds.

HR 135bpm
RR 28bpm
O2 92% on room air

The healthcare provider enters the patient room to see the client and determine the plan of care. Select the 4 interventions that are most appropriate for the client’s condition.

You must select 4 answers

Chest radiography

Continuous pulse oximetry

Oral steroid

Nebulized bronchodilator(s)

Oxygen per protocol

Inhaled corticosteroid

Question 4 of 10

The nurse providing care to a 10-year-old that presented to the ER with an asthma exacerbation knows to be most concerned by which of the following assessment findings?

A silent chest

Hyperresonance on percussion

A hacking, non-productive cough

Prolonged expiration

Question 5 of 10

EHR for Patient

Open

Patient Description Nurses Notes History and Physical Flow Sheet

The nurse instructs the father to bring the child in to the pediatrician for an assessment.

Past Medical History includes asthma, eczema, and seasonal allergies.

HR 135bpm
RR 28bpm
O2 92% on room air

The nurse documents the assessment findings in the electronic health record (EHR) and considers the cause of symptoms. Complete the following sentence by selecting the best options from the list.

The client is likely experiencing as a result of .

Question 6 of 10

EHR for Patient

Open

Patient Description Nurses Notes

click to show possible answer options

click to hide possible answer options

The nurse is reviewing the information the father has shared about his child. Click to highlight the statements that require follow-up by the nurse.

Father calls nurse help line for advice. He states patient is having “coughing spells.” Father states coughing has been going on about 24 hours and is getting more frequent. Father denies any cyanosis, but states the patient does have some “sucking in” between the ribs. Father states patient does not have a fever. Ran out of daily controller inhaler about a month ago.

Question 7 of 10

EHR for Patient

Open

Patient Description Nurses Notes History and Physical Orders Flow Sheet

The nurse instructs the father to bring the child in to the pediatrician for an assessment.

Orders placed by the healthcare provider.

Past Medical History includes asthma, eczema, and seasonal allergies.

Patient presents to pediatrician office for assessment of respiratory symptoms. Patient in supine position and is alert, following commands, but slightly agitated. Ear pain noted to right side on inspection. Audible S1S2 with HR135bpm. Capillary refill 3 seconds. Inspiratory and expiratory wheezing throughout lung fields. Substernal and intercostal retractions noted. RR28bpm. O292% on room air. Hypoactive bowel sounds.

The nurse reassesses the patient after completing the orders. Patient is sitting with head of bed 60 degrees. Patient is alert and following commands. Ear pain continues, unchanged. Audible S1S2 with HR140bpm. Capillary refill 3 seconds. Expiratory wheezes throughout lung fields, improved. Mild intercostal retractions. RR22bpm. O2 94% on room air. Hypoactive bowel sounds. Patient with new complaint of headache 2/10 and “jitters.”

albuterol 2.5mg nebulized Q5 minutes times 2 doses
prednisolone 2mg/kg oral once
Continuous pulse oximetry with oxygen therapy per protocol to keep saturations 92% or greater
Keep head of bed >45 degrees

HR 135bpm
RR 28bpm
O2 92% on room air

T 99F oral

HR 140bpm
RR 28bpm
O2 94% on room air

The nurse completes the orders and reassesses the patient. Mark whether the reassessment finding was expected, unexpected, or unrelated.

Assessment Finding

Expected

Unexpected

Unrelated

Oral temperature 99F

HR140bpm

Hypoactive bowel sounds

Headache

Shakiness/jitters

RR28bpm

Question 8 of 10

The nurse receives the following client assignment. Which client should the nurse see first? 1) A 50-year-old with chest pain 2) A 13-year-old with an asthma attack 3) A 2-month-old that is fussy 4) A 90-year-old with cyclical vomiting

A 50-year-old with chest pain

A 13-year-old with an asthma attack

A 2-month-old that is fussy

A 90-year-old with cyclical vomiting

Question 9 of 10

EHR for Patient

Open

Patient Description Nurses Notes History and Physical Flow Sheet

The nurse instructs the father to bring the child in to the pediatrician for an assessment.

Past Medical History includes asthma, eczema, and seasonal allergies.

HR 135bpm
RR 28bpm
O2 92% on room air

The nurse is reviewing the assessment findings. Select the 4 assessment findings requiring immediate follow-up.

You must select 4 answers

HR135bpm

Inspiratory and expiratory wheezing

o2 92%

Supine position

Capillary refill 3 seconds

Retractions noted

Right-sided ear pain

RR28bpm

Hypoactive bowel sounds

Audible S1S2

Alert, following commands, slightly agitated

Question 10 of 10

EHR for Patient

Open

Patient Description Nurses Notes History and Physical Orders Flow Sheet

The nurse instructs the father to bring the child in to the pediatrician for an assessment.

Orders placed by the healthcare provider.

Past Medical History includes asthma, eczema, and seasonal allergies.

Albuterol 2.5mg nebulized Q5 minutes times 2 doses
Prednisolone 2mg/kg oral once
Continuous pulse oximetry with oxygen therapy per protocol to keep saturations 92% or greater
Keep head of bed >45 degrees
Asthma education

HR 135bpm
RR 28bpm
O2 92% on room air

The nurse reviews the orders written by the provider. Select the best option to complete the 2 sentences.

The nurse’s priority is to . Next, the nurse should .

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Score an 80% or better on these Pediatric Asthma [NextGen] questions to master this lesson.

Peak Flow Meter

300,000+ Students Use These Cheatsheets To Pass NCLEX

What email should we send your results to?

What email should we send your results to?

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