A School­age Child Who Uses a SABA and an Inhaled

question 8

Multiple Choice

A school­age child who uses a SABA and an inhaled corticosteroid medication is
seen in the clinic for an acute asthma exacerbation. After 4 puffs of an inhaled short­acting B2­ agonist (SABA) every 20 minutes for three treatments, spirometry testing shows an FEV1 of 60% of the child's personal best. What will the primary care pediatric nurse practitioner do next?

• A) Administer an oral corticosteroid and repeat the three treatments of the inhaled SABA.
• B) Admit the child to the hospital for every 2 hour inhaled SABA and intravenous steroids.
• C) Give the child 2 mg/kg of an oral corticosteroid and have the child taken to the emergency department.
• D) Order an oral corticosteroid, continue the SABA every 3 to 4 hours, and follow closely.

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Definitions:

Everyday Life

The routine daily activities and experiences of individuals or groups in a society.

Differential Association

A theory in criminology suggesting that individuals learn criminal behavior through their social interactions and communication with others.

Labeling Theory

A theory in sociology that suggests the labels or classifications society applies to individuals can influence their behavior and self-identity.

Control Theories

Theories in criminology and sociology that explain social order and the lack of criminal behavior as a result of societal norms and relationships that encourage conformity.