ATI Video Case Study Pediatric Asthma
A nurse is caring for an adolescent who is experiencing status asthmaticus. Which of the following
actions should the nurse take? - ANS Administer humidified oxygen.
(The nurse should administer humidified oxygen to maintain the adolescent's oxygen saturation greater
than 90%. The nurse should also maintain continuous cardiorespiratory monitoring and be prepared to
intubate the client if respiratory arrest occurs.)
A nurse is assessing a school-age child who has asthma and is experiencing a severe exacerbation. Which
of the following findings should the nurse expect? - ANS Suprasternal retractions
(A child who is experiencing a severe exacerbation of asthma will exhibit use of accessory muscles and
suprasternal retractions. Other manifestations include breathlessness while at rest, agitation,
tachypnea, loud wheezes on inspiration and expiration, and a SaO2 less than 90%.)
A nurse is teaching the parents of a school-age child who has asthma about a rescue medication to use
during an acute asthma attack. Which of the following medications should the nurse include in the
teaching? - ANS Albuterol
(The nurse should instruct the parents that albuterol is a short-acting bronchodilator that alleviates
bronchospasm during acute asthma attacks. It has a rapid onset of 5 to 15 min when inhaled. Albuterol
is also used to prevent exercise-induced asthma attacks.)
A nurse is teaching the parents of a child who has asthma about methods to decrease the child's
exposure to allergens. Which of the following statements should the nurse include? - ANS "Wet-dust
your child's room once per week."
(The nurse should instruct the parents to wet-dust and wet-mop the child's room at least once per
week. The parents should also vacuum all carpets and furniture weekly using a HEPA filter. This will
decrease the child's exposure to airborne irritants and allergens that can trigger an asthma attack.)
A nurse is caring for an adolescent who is experiencing status asthmaticus. Which of the following
actions should the nurse take? - ANS Administer humidified oxygen.
(The nurse should administer humidified oxygen to maintain the adolescent's oxygen saturation greater
than 90%. The nurse should also maintain continuous cardiorespiratory monitoring and be prepared to
intubate the client if respiratory arrest occurs.)
A nurse is assessing a school-age child who has asthma and is experiencing a severe exacerbation. Which
of the following findings should the nurse expect? - ANS Suprasternal retractions
(A child who is experiencing a severe exacerbation of asthma will exhibit use of accessory muscles and
suprasternal retractions. Other manifestations include breathlessness while at rest, agitation,
tachypnea, loud wheezes on inspiration and expiration, and a SaO2 less than 90%.)
A nurse is teaching the parents of a school-age child who has asthma about a rescue medication to use
during an acute asthma attack. Which of the following medications should the nurse include in the
teaching? - ANS Albuterol
(The nurse should instruct the parents that albuterol is a short-acting bronchodilator that alleviates
bronchospasm during acute asthma attacks. It has a rapid onset of 5 to 15 min when inhaled. Albuterol
is also used to prevent exercise-induced asthma attacks.)
A nurse is teaching the parents of a child who has asthma about methods to decrease the child's
exposure to allergens. Which of the following statements should the nurse include? - ANS "Wet-dust
your child's room once per week."
(The nurse should instruct the parents to wet-dust and wet-mop the child's room at least once per
week. The parents should also vacuum all carpets and furniture weekly using a HEPA filter. This will
decrease the child's exposure to airborne irritants and allergens that can trigger an asthma attack.)
