The caregiver is being educated by a healthcare provider about the use of a metered-dose inhaler (MDI) for their 8-year-old child with asthma. Which statement by the caregiver indicates a need for further teaching?- Nurselytic

Question 1 of 5

The caregiver is being educated by a healthcare provider about the use of a metered-dose inhaler (MDI) for their 8-year-old child with asthma. Which statement by the caregiver indicates a need for further teaching?

A. I will shake the inhaler before each use B. My child should breathe in quickly after pressing the inhaler C. I should wait a minute between puffs D. We should use a spacer with the inhaler

Correct Answer: B

Rationale: The caregiver should be informed that the child should breathe in slowly and deeply after pressing the inhaler. This allows for better medication delivery to the lungs and ensures optimal effectiveness of the treatment.

Question 2 of 5

The parents of a 3-year-old boy who has Duchenne muscular dystrophy (DMD) ask, 'how can our son have this disease? We are wondering if we should have any more children.' What information should the nurse provide these parents?

A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family. B. The male infant had a viral infection that went unnoticed and untreated, leading to muscle damage. C. The lack of the protein dystrophin in the mother can impact the muscle groups of males. D. Damage to the spinal cord due to birth trauma from a breech vaginal birth weakens the muscles.

Correct Answer: A

Rationale: The nurse should inform the parents that Duchenne muscular dystrophy is an X-linked recessive disorder, which primarily affects male children in the family. This genetic condition is caused by a mutation in the dystrophin gene located on the X chromosome. Females are usually carriers of the gene mutation and may pass it on to their sons. Daughters of carrier mothers have a 50% chance of being carriers themselves. Understanding the genetics of DMD can help the parents make informed decisions about family planning and genetic counseling.

Question 3 of 5

The caregiver is being educated by a healthcare provider about the use of a metered-dose inhaler (MDI) for their 8-year-old child with asthma. Which statement by the caregiver indicates a need for further teaching?

A. I will shake the inhaler before each use B. My child should breathe in quickly after pressing the inhaler C. I should wait a minute between puffs D. We should use a spacer with the inhaler

Correct Answer: B

Rationale: The caregiver should be informed that the child should breathe in slowly and deeply after pressing the inhaler. This allows for better medication delivery to the lungs and ensures optimal effectiveness of the treatment.

Question 4 of 5

What information should the nurse provide the parents of a 3-year-old boy with Duchenne muscular dystrophy (DMD) who are concerned about having more children?

A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family. B. The male infant had a viral infection that went unnoticed and untreated, leading to muscle damage. C. The mother's lack of the protein dystrophin can impact the XXXX muscle groups in males. D. Birth trauma during a breech vaginal birth can damage the spinal cord, resulting in muscle weakness.

Correct Answer: A

Rationale: The correct answer is A. Duchenne muscular dystrophy is an inherited X-linked recessive disorder that primarily affects male children in the family. Since it is X-linked, sons inherit the mutation from their mothers who are carriers of the abnormal gene. Therefore, the nurse should explain to the parents that any future sons they have would have a 50% chance of inheriting the mutation and having DMD, while daughters would have a 50% chance of being carriers like the mother.

Question 5 of 5

When caring for a 4-year-old child diagnosed with celiac disease, the parent asks about foods to avoid. Which response by the nurse is correct?

A. Avoid all dairy products B. Avoid foods containing wheat, barley, and rye C. Avoid all foods high in sugar D. Avoid foods with artificial coloring

Correct Answer: B

Rationale: Celiac disease is managed with a strict gluten-free diet, necessitating the avoidance of foods containing wheat, barley, and rye. Gluten is found in these grains and can trigger an immune response in individuals with celiac disease, leading to damage to the small intestine. Therefore, it is essential for individuals with celiac disease, including children, to carefully avoid gluten-containing foods to maintain their health and well-being.

Nurselytic

HESI RN

HESI RN

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