Walkthrough: Management of Care Q4 – NCLEX-RN®

00:01 The nurses providing discharge teaching for a parent of a school aged client who is diagnosed with asthma.

00:08 Which parents statement indicates successful understanding.

00:12 Okay, guys, here's what you need to look at, we're going to take that first sentence.

00:16 And remember that last sentence is the final tweaking and focusing of your brains.

00:22 So the nurse, that's me, is providing discharge teaching for a parent of a school age client who is diagnosed with asthma.

00:31 So what's particular about this patient? They are school age, and they're diagnosed with asthma.

00:37 So which parents statement indicates successful understanding? So make sure when you're going through these answer choices, you're asking yourself, "Does this indicate understanding? Does this indicate understanding of asthma? Does this indicate understanding of asthma?" Now as you eliminate questions, because we want you to use your scratch paper with the numbers 1, 2, 3, and 4, make sure you force yourself to say, why, you're eliminating that answer choice? So pause the video.

01:07 Work through the question on your own, and then come back, we'll walk through it together.

01:20 Hey, welcome back.

01:21 All right, let's get going on this.

01:23 So we're looking for successful understanding based on the parent statement.

01:28 So let's look at the first parent statement.

01:31 "My child's asthma symptoms are not reversible, and I should limit my child's time outside." Okay, well, when you're thinking through this, you're thinking, "Well, what if the kids triggers are outside? So maybe they should limit their time?" But look at the first part of that answer.

01:50 "My child's asthma symptoms are not reversible." Actually, they are.

01:55 That's why we would give a bronchodilator.

01:59 Now, you don't know so much limit the child's time outside, just try to limit the child's exposure to potential asthma triggers.

02:06 They'll have to figure out which ones irritate the child's asthma the most and help them avoid those.

02:13 But we want kids to be active. We want them outside.

02:17 Not always in front of a screen.

02:18 We want them to be active using their muscles and having a great time.

02:23 So number one, you're out.

02:25 Main reason - the symptoms are reversible.

02:28 That does not indicate successful understanding by this parent.

02:32 Number two, let's look at their second statement.

02:35 The characteristics of asthma are broncodilation and increased mucus.

02:39 Yeah, there is a ton of mucus with asthma sometimes, right? Just gross. But, look at that word.

02:47 This is how the elves roll.

02:49 This is the kind of stuff they do. Right? Those NCLEX elves that write the question.

02:54 Look at that B word. Broncodilation.

03:00 They're expecting if you read this intro choice too quickly, your brain will just see that as bronchoconstriction and pick that answer.

03:08 If that happened to you, easy fix.

03:11 Slow down.

03:13 When you're looking at these answer choices and think about what they really mean.

03:16 Yes, the characteristic of asthma is increased mucus with an attack, but it's broncho...

03:23 there you go, constriction.

03:25 So number two, that parent statement does not indicate successful understanding.

03:31 Number three. Parents statement number three.

03:35 If my child has an asthma attack, I should give them their corticosteroids immediately.

03:41 Okay, well, if they have an asthma attack, we do want them to get their medication.

03:45 But corticosteroids is not what I'm going to reach for first.

03:49 I'm going to give the child their rescue inhaler.

03:52 Their short acting, right.

03:54 There SABA.

03:56 Short-acting beta 2-agonists is an example of a rescue inhaler.

04:02 So not their corticosteroids.

04:04 I'm going to give them a rescue breath.

04:07 So number three, you're out.

04:10 Well, don't just assume number four is right.

04:13 You got to do the full work.

04:15 Okay, so let's see it through to the end.

04:17 The fourth statement made by this parent.

04:19 Does it successfully demonstrate understanding? "If my child's symptoms do not resolve within 15 to 30 minutes after their bronchodilator, I should take my child to the pediatric ER." Well, let's think through that.

04:36 Okay, if the symptoms don't resolve within 15 to 30 minutes, there's a number. Is that appropriate? Yes, it is.

04:45 So if the symptoms don't resolve within 15 to 30 minutes after they've had their bronchodilator according to the health care providers plan.

04:53 Absolutely.

04:55 They should take that child to the pediatric ER.

04:58 This is considered status asthmaticus.

05:00 That means if the regular medications and treatments that they've laid out with their healthcare provider don't work, you need to up the ante, right.

05:07 You need to go to a level of care where a healthcare provider can see that child directly and provide direct care.

05:15 All right, how'd you do? Did you pick up that I'm looking for successful understanding, so I'm looking for something that's correct or safe for this particular client? Did you get the question, right? Hey, if you did, I'm telling you, it's time to celebrate.

05:32 You need to celebrate every victory that you have while you're preparing for your NCLEX exam.

05:38 If you got it wrong, what tripped you up? What did you miss? Is there something you need to write in your NCLEX notebook? So stay with us, keep answering questions.

05:48 I promise, you will get better at this.

05:51 Remember, preparing for exams is a marathon and not a sprint.

05:56 So see in the next question.