The nurse in the clinic reviewed a child's medical record and noted several admissions for an asthma attack in the past year. When performing a teaching session on the prevention of an asthma attack, which of the following statements by the parents requires additional teaching?
The nurse in the clinic reviewed a child's medical record and noted several admissions for an asthma attack in the past year. When performing a teaching session on the prevention of an asthma attack, which of the following statements by the parents requires additional teaching?
A. "Our child loves playing the trumpet in the grade school band."
[15%]
B. "Our child rakes leaves outdoors to earn extra money."
[72%]
C. "We recently got our child a fish tank with various fish."
[5%]
D. "Our child swims with his friends on the weekends."
[8%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Respiratory
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Health Promotion/Disease Prevention
Item Type
Item Type
Application
Explanation
Choice B is correct. Raking leaves exposes the child to allergens from the trees. The nurse should advise the parents to seek an alternative activity that will allow the child to continue to help with the work at home but minimize exposure to potential asthma attack-inducing allergens.
Choice A is incorrect. Although studies vary across the board, no reliable, large-scale study shows that using brass instruments (including trumpets) harms those with asthma.
Choice C is incorrect. Certain pets are not recommended for individuals with asthma, which include those who shed frequently with a lot of pet dander. Pets safe for asthma include lizards, turtles, and fish. Cats and dogs are generally not recommended. However, some mitigation measures to prevent the pet dander from causing an allergic reaction may be having an air purifier and having someone else bathe the cat or dog regularly.
Choice D is incorrect. Swimming is a suitable exercise for the lungs. This is a preferred exercise because of its high humidity of inspired air at the water level. This prevents bronchoconstriction.
Learning Objective
Recognize that parental statements regarding a pediatric asthma client raking leaves indicate that additional parental education is needed.
Related Videos
2 Key Topics
Asthma
17.6 Airway Disorders
Additional Info
- Environmental allergen exposure is one of the most common causes of asthma exacerbation.
- Asthma triggers range from environmental allergens and respiratory irritants to infections, aspirin, exercise, emotion, and gastroesophageal reflux disease.
- Client education is key to avoiding asthma attack triggers.
