A School­age Child with Asthma Is Seen for a Well

question 2

Multiple Choice

A school­age child with asthma is seen for a well child checkup and, in spite of
"feeling fine," has pronounced expiratory wheezes, decreased breath sounds, and an FEV1less than 70% of personal best. The primary care pediatric nurse practitioner learns that the child's parent administers the daily medium­dose ICS but that the child is responsible for using the SABA. A treatment of 4 puffs of a SABA in clinic results in marked improvement in the child's status. What will the nurse practitioner do?

• A) Have the parent administer all of the child's medications.
• B) Increase the ICS medication to a high­dose preparation.
• C) Reinforce teaching about the importance of using the SABA.
• D) Teach the child and parent how to use home PEF monitoring.

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Definitions:

Social Norms

The unwritten rules that govern the behavior of individuals within a society or group.

Immoral Manager

A manager who chooses to behave unethically.

Ethical Implications

Refers to the moral consequences or considerations of a decision, action, or policy in various aspects of human activities.

Kohlberg's Conventional

A stage in Kohlberg's theory of moral development where individuals' reasoning is based on societal norms and the expectations of important others.