Health Promotion and Maintenance
100. A child is admitted with acute exacerbation of asthma. A physician orders 100% oxygen via mask. Which physician order should be a nurse's next priority?
Health Promotion and Maintenance
100. A child is admitted with acute exacerbation of asthma. A physician orders 100% oxygen via mask. Which physician order should be a nurse's next priority?
. Continuous inhaled albuterol.
. IV Solu-Medrol 2 mg/kg loading dose.
. IV fluids at maintenance rate.
. Chest x-ray.
Test-Taking Tip
Airway is the first priority, especially in children with asthma. Begin treatments that have quick effects on oxygen exchange, then administer long-acting medications and gather assessment data.
Content Area: Child Health, Respiratory; Integrated Process: Nursing Process, Implementation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
Health Promotion and Maintenance
.
Answer 1 is correct because the nurse's priority is to alleviate airway inflammation, and administration of a beta agonist such as albuterol is recommended. Answer 2 is incorrect because the loading dose of Solu-Medrol (methylprednisolone) should be administered after starting albuterol treatments. Answer 3 is incorrect because IV fluids can be given after starting albuterol treatments. Answer 4 is incorrect because a chest x-ray can be obtained after starting albuterol treatments.