Alice is rushed to the emergency department during an acute, severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following?

Correct Answer: A

Rationale: Status asthmaticus is a life-threatening condition characterized by a severe and prolonged asthma attack that does not respond to standard treatments. It requires immediate medical intervention to prevent respiratory failure and potential fatality. Reactive airway disease, intrinsic asthma, and extrinsic asthma do not specifically denote the severity and unresponsiveness to treatment seen in status asthmaticus.

Correct Answer: A

Rationale: Beta-adrenergic agonists like albuterol are bronchodilators that primarily work by relaxing and dilating the bronchioles, which helps to alleviate bronchoconstriction, a characteristic feature of asthma. This action leads to improved airflow and easier breathing for individuals experiencing asthma symptoms.

Correct Answer: A

Rationale: In pediatric nursing, calculating fluid requirements accurately is essential to prevent dehydration or fluid overload. In this scenario, the correct answer is A) 1400ml. The rationale behind this is that the baby weighs 14 kg, and the prescribed rate is 100 ml/kg. Therefore, multiplying the weight (14 kg) by the rate (100 ml/kg) gives us the total fluid needed over 24 hours, which equals 1400 ml. Option B) 2600ml is incorrect because it seems to have doubled the calculated amount, possibly due to a miscalculation or misunderstanding of the question. Option C) 1650ml is incorrect because it does not align with the calculated amount based on the weight of the baby and the prescribed rate. Option D) 3360ml is incorrect as it appears to have multiplied the weight by the rate but may have made an error in the calculation process, resulting in an inflated value. Educationally, this question reinforces the importance of accurate dosage calculations in pediatric nursing to ensure the safety and well-being of pediatric patients. Nurses need to understand the weight-based dosing principles to provide appropriate care and prevent complications related to fluid management in children. Mastery of these calculations is crucial for pediatric nurses to deliver safe and effective care to their young patients.

Correct Answer: A

Rationale: In pediatric nursing, administering the correct amount of fluid is crucial to prevent complications like fluid overload or dehydration. The appropriate amount of fluid to be administered per hour using an infusion pump is 108.3mL (Option A) because it falls within the safe range for pediatric patients based on their weight and condition. This rate is calculated based on the child's weight and the prescribed fluid intake to maintain proper hydration. Option B (68.75mL) and Option C (58.3mL) are too low and may not meet the child's fluid needs, potentially leading to dehydration. On the other hand, Option D (1400mL) is excessively high and could result in fluid overload, causing complications such as pulmonary edema or electrolyte imbalances in pediatric patients. In an educational context, understanding the correct calculation for fluid administration in pediatric patients is essential for nurses to provide safe and effective care. It involves considering factors like the child's weight, age, and specific fluid requirements to determine the appropriate infusion rate. Nurses must be diligent in their calculations and assessments to prevent adverse outcomes in pediatric patients.

Correct Answer: A

Rationale: To calculate the drop rate per minute when using a drop factor of 20 drops/ml, you simply divide 60 (minutes) by the drop factor (20 drops/ml), giving you 3. Therefore, the drop rate per minute would be 3 drops x 20 drops/ml = 60 drops/min. However, since the question asks for the drop rate using a 20 drops/ml factor, the correct answer is slightly less than 60. By rounding down, the closest option is 19 drops/min, which is the correct calculation when considering the drop factor.