Reference no: EM133443866

A 10-year-old boy who was brought to the hospital by his parents. The child's mother tells the emergency room nurse that the child has had a cough for the last 4 days within an increasing frequency, especially at night. The child has also been short of breath and needs an inhaler every hour. There is very little relief after each dose. The child has an increase respiratory rate of 36 breaths per minute. He is using his accessory muscles to augment his respiratory effort and wheezing.

The child's vital signs are: T101.0F (38.3C), heart rate: 124bpm, oxygen saturation at 90% via room air. The child also states that he has a stomach ache and has not eaten for 2 days. The parents state that their son is sensitive to pollen and dust and sometime he leaves his inhaler at home when he goes to school.

1. What data does the nurse need during the initial interview and assessment?

2. What are possible asthma triggers does this child and family need to be aware of?

3. What effect do systemic corticosteroids, short-acting inhaled Beta2-Agonists and Leukotriene modifiers have on the treatment and management of asthma?

4. How would a nurse prioritize a plan of care for this child and family?

5. What factors place the child at increased risk for continued respiratory problems?

6. What evaluation criteria would indicate improvement in this child's condition?

7. What discharge teaching would the nurse give to this child and parent