A 4-year-old child presents with a high B) Administer a bronchodilator
fever, cough, and difficulty breathing. The
nurse notes wheezing upon auscultation. RATIONALE:: Administering a bronchodilator is the priority intervention to relieve
What is the priority nursing intervention? wheezing and improve the child's breathing.
A 10-year-old child with asthma is C) Signs of respiratory failure
experiencing an exacerbation. The child is
using a rescue inhaler every 2 hours. What RATIONALE:: The nurse should assess for signs of respiratory failure, as frequent use
should the nurse assess for next? of a rescue inhaler indicates poor asthma control.
During a health assessment, a nurse C) Assess the child's abdomen further
observes that a 2-year-old child has a
distended abdomen and is irritable. The RATIONALE:: Assessing the abdomen further is crucial to determine the extent of the
mother reports the child has not had a issue before taking action.
bowel movement in three days. What
should the nurse do first?
A nurse is teaching a group of parents C) "Vaccinations help prevent serious diseases."
about the importance of vaccinations for
children. Which statement indicates that a RATIONALE:: This statement reflects an understanding of the role of vaccinations in
parent understands the teaching? preventing serious diseases.
A nurse is caring for a child with a burn B) Administer prescribed analgesics
injury. The child's pain level is reported as
8/10. What is the most appropriate RATIONALE:: Administering prescribed analgesics is the most appropriate
intervention? intervention to manage the child's pain effectively.