A 10-year-old child with asthma is experiencing an acute exa… | 마이메르시 MyMerci
마이메르시 — 문제와 상세 해설까지 전부 무료 무료로 시작하기
Adult Health
문제

A 10-year-old child with asthma is experiencing an acute exacerbation. The child is using accessory muscles to breathe, has audible wheezing, and appears anxious. The peak flow meter reading is 40% of the child's personal best. What is the most appropriate immediate nursing intervention?

해설
For acute asthma exacerbation with peak flow at 40%, immediate bronchodilation with albuterol is the most appropriate intervention to relieve obstruction. Other options are less urgent or contraindicated in this acute setting.
같은 주제 다음 문제A nurse is assessing a 65-year-old patient with a history of chronic obstructive pulmonary…

심화 해설

Understanding the Clinical Scenario
The child is presenting with classic signs of a moderate-to-severe acute asthma exacerbation: use of accessory muscles, audible wheezing, anxiety, and a critically reduced peak expiratory flow rate (PEFR) at 40% of personal best. This PEFR value places the exacerbation firmly in the severe category (typically defined as

임상 시나리오

Pediatric Acute Asthma Exacerbation ManagementImmediate Nursing Priority for Severe Distress

In a severe exacerbation with PEFR ≤ 40% of personal best, the immediate priority is to reverse bronchoconstriction using a short-acting beta-2 agonist (SABA) like albuterol via nebulizer or MDI with spacer.

Position the child in an upright or semi-Fowler's position to optimize lung expansion. Lying flat can worsen dyspnea and should be avoided.

Caution

While oxygen therapy is given for hypoxia and systemic corticosteroids reduce inflammation, neither acts as rapidly as inhaled SABAs to relieve the immediate life-threatening bronchospasm. Do not delay bronchodilator administration.

핵심 개념

Merci NCLEX-RN Question Bank 3,445 문제 · 로그인 없이 바로 볼 수 있어요

마이메르시로 국가고시 완벽 대비

기출문제와 상세 해설을 무료로. 내 약점을 분석하고 진도를 관리하며 더 똑똑하게 공부하세요.

무료로 시작하기
App Store Google Play

학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.