Inhaler technique by observing which demonstration

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Reference no: EM133945881

Question

Joshua Martin is a 5-year-old boy who started kindergarten this year. Joshua's wheezing intensifies after he lies on the floor mats in his classroom for a nap. Joshua receives albuterol (a β2-agonist) treatments four to five times a year in the emergency department for this condition and experiences temporary relief of symptoms. The school nurse's observations of Joshua include the following: absence of fever or sore throat, persistent dry cough, wheezing, exercise intolerance, and a history of resolution of symptoms after β2-agonists treatments. After a pulmonary function test is done at his pediatrician's office, it is determined that Joshua has moderate persistent asthma and allergic rhinitis.

- Which of the school nurse's observations are consistent with the diagnosis of asthma?

- How would you explain the purposes and expected results of a pulmonary function test?

- In providing education to Joshua and his mother, how would you incorporate the use of a peak flow meter and what developmentally appropriate instructions would you give?

- In developing plan of care goals, the school nurse recognizes what level of activity is appropriate for children with asthma?

- The school nurse recognizes that Joshua is using correct inhaler technique by observing which demonstrations? What would you use for a child unable to use a MDI correctly?

Reference no: EM133945881

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