Pediatric ATI Practice Exam

What instruction should a nurse provide to parents of a child with moderate persistent asthma regarding therapy?

1. Give the salmeterol inhaler every 4 hours during wheezing episodes.

2. Monitor the child's weight weekly during inhaled corticosteroid therapy.

3. Perform pulmonary function tests every 12 to 24 months.

4. Record the child's average of three peak expiratory flow readings.

The correct answer is: Perform pulmonary function tests every 12 to 24 months.

The correct instruction for parents of a child with moderate persistent asthma involves performing pulmonary function tests every 12 to 24 months. These tests are essential in assessing how well the child's lungs are functioning and how well the asthma is being controlled. Regular pulmonary function tests can help in adjusting treatment plans as needed, ensuring that the child's asthma management is effective. Monitoring lung function over time allows healthcare providers to identify any potential decrease in lung capacity or increased airway obstruction, which can indicate the need for changes in therapy or intervention. By routinely checking pulmonary function, parents and providers can work together to maintain optimal asthma control, minimizing the risk of exacerbations. While monitoring the child's weight during inhaled corticosteroid therapy is important, focusing on lung function is more directly related to managing asthma effectiveness. Similarly, while reporting peak expiratory flow readings is useful for assessing daily asthma control, it's the comprehensive assessment through pulmonary function tests that provides a more thorough evaluation of the child's respiratory status over time.