Next Generation (Drop Down Select) Question. Please use the…
Next Generation (Drop Down Select) Question. Please use the blank space to answer the following 4 questions. (For example: write 1 = A, 2 = A, 3= A, 4= A). You must select all 4 correctly in order to earn 1 point. A 7-year-old child with a history of moderate persistent asthma presents to the clinic with increased nighttime coughing, shortness of breath during play, and albuterol inhaler use more than four times per week. The parent says, “We’ve been using the rescue inhaler a lot more lately, and it’s not working as well.” The nurse performs an assessment: Respiratory rate: 28/minHeart rate: 112 bpmSpO₂: 94% on room airMild wheezing heard bilaterally 1. 1. The nurse interprets that this child is likely experiencing: A. Well-controlled asthmaB. Mild intermittent asthmaC. Poorly controlled asthmaD. An asthma exacerbation requiring hospitalization 2. Which action should the nurse take first?A. Administer a prescribed short-acting beta-agonist (SABA)B. Encourage the parent to continue rescue inhaler use as neededC. Instruct the child to increase physical activity D. Reassure the parent that symptoms are common at this age 3. Which education topic is most appropriate based on the child’s current symptoms?A. Daily use of albuterol to prevent asthma attacksB. Proper use of a peak flow meter and asthma action plan C. When to initiate step-down therapyD. Signs of well-controlled asthma 4. The nurse should anticipate the provider will:A. Decrease the child’s controller medicationB. Discontinue the use of rescue medicationC. Add or adjust the controller medication for better long-term controlD. Refer the child for psychological evaluation
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