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Like a fish out of water: Asthma and children

doi: 10.1097/01.NME.0000446433.31540.67
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INSTRUCTIONS Like a fish out of water


  • To take the test online, go to our secure Web site at
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  • You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
  • Registration deadline is June 30, 2016.
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Like a fish out of water

GENERAL PURPOSE: To provide information about childhood asthma. LEARNING OBJECTIVES: After reading the article and taking this test, you'll be able to: 1. Identify signs and symptoms, triggers, and diagnosis of asthma in children. 2. Describe pediatric asthma action plans, maintenance medications, monitoring, and treatment.

  1. The vast majority of children with asthma experience their first symptoms before age
    1. 4.
    2. 6.
    3. 8.
  2. When experiencing an asthma attack, the child will experience airway inflammation and
    1. bronchodilation.
    2. airway constriction.
    3. a respiratory infection.
  3. For patient education purposes, the A in the mnemonic DREAD stands for
    1. audible wheezing.
    2. airflow impeded.
    3. accessory muscle use.
  4. Asthma isn't being controlled properly if the child has a Childhood Asthma Control Test with a score of
    1. 18.
    2. 20.
    3. 22.
  5. Asthma triggers include
    1. reading quietly.
    2. cigarette smoke.
    3. mild temperature changes.
  6. Medications that may trigger an asthma attack include
    1. aspirin.
    2. corticosteroids.
    3. diphenhydramine.
  7. The peak flow meter measures the rate that the child can
    1. force air into the lungs.
    2. force air out of the lungs.
    3. normally inhale and exhale air in 1 minute.
  8. Treatment for pediatric asthma includes maintenance medications, rescue medications, and
    1. analgesics.
    2. antibiotics.
    3. immunotherapy.
  9. An asthma medication generally taken every day, even if the child isn't experiencing symptoms, is
    1. immunotherapy.
    2. a rescue medication.
    3. a maintenance medication.
  10. An example of a long-term control medication for asthma is a
    1. leukotriene modifier.
    2. systemic corticosteroid.
    3. short-acting bronchodilator.
  11. The most common short-acting bronchodilator is
    1. albuterol.
    2. pirbuterol.
    3. levalbuterol.
  12. Allergy desensitization shots used to control asthma triggers caused by certain allergies are
    1. trigger therapy.
    2. immunotherapy.
    3. preventive therapy.
  13. A written management plan that's developed with the family, child, and healthcare provider is an
    1. asthma action plan.
    2. asthma prevention plan.
    3. asthma maintenance plan.
  14. The ultimate goal of the asthma management plan is to reduce
    1. maintenance medications.
    2. primary care provider visits.
    3. ED visits.
  15. A child's asthma management plan indicates worsening symptoms in the
    1. red zone.
    2. green zone.
    3. yellow zone.
  16. The pediatric asthma management plan includes
    1. actions to take before exercise.
    2. a list of items that aren't triggers.
    3. the patient's pharmacy phone number.
  17. According to federal and state laws, children with asthma may
    1. purchase inhalers at the school office.
    2. choose not to participate in physical education classes.
    3. carry their own inhalers to school if allowed by their parents.
  18. During a child's asthma attack in the ED, the oxygen saturation levels are monitored with continuous
    1. telemetry.
    2. pulse oximetry.
    3. BP readings.




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