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:

Cryptomnesia

A phenomenon where a person mistakenly believes a memory or idea is new or original when it is actually derived from a forgotten source.

Source Amnesia

A type of amnesia in which someone can remember certain information but is unable to recall where, when, or how they learned that information.

Estimate

A rough calculation or judgment of the value, number, quantity, or extent of something.

Testifying

The act of giving evidence or bearing witness in a court of law or other legal proceeding.