Question

question 5
1 pts
an adolescent who has exercise - induced asthma (eia) is on the high school track team and has recently begun to practice daily during the school week. the adolescent uses 2 puffs of albuterol via a metered - dose inhaler 20 minutes before exercise but reports decreased effectiveness since beginning daily practice. what will the primary care nurse practitioner do?

• increase the albuterol to 4 puffs 20 minutes prior to exercise.
• refer for allergy testing
• counsel the adolescent to decrease the number of practices each week.
• order a daily inhaled corticosteroid medication

question 6
1 pts
the primary care nurse practitioner examines a child who has had stiffness and warmth in the right knee and left ankle for 7 or 8 months but no back pain. the nurse practitioner will refer the child to a rheumatology specialist to evaluate for what form of juvenile idiopathic arthritis (jia)?

• enthesitis - related jia
• polyarticular jia
• oligoarticular jia
• systemic jia

Explanation:

Question 5

For exercise - induced asthma (EIA) with decreased albuterol effectiveness due to daily practice, increasing albuterol puffs is not the best long - term solution (over - reliance on rescue inhalers). Allergy testing is not indicated here as it's exercise - induced. Decreasing practice frequency is not ideal for the athlete. Daily inhaled corticosteroids are used for long - term control of asthma, especially when rescue medications become less effective with increased exposure to triggers (daily exercise here).

• Enthesitis - related JIA is associated with enthesitis (inflammation at tendon/ligament insertions) and often has back pain (related to sacroiliitis).
• Polyarticular JIA involves more than 5 joints.
• Oligoarticular JIA involves 1 - 4 joints (in this case, right knee and left ankle, which is 2 joints) and typically has no back pain, matching the child's symptoms.
• Systemic JIA has systemic symptoms like fever, rash, etc., not just joint stiffness and warmth.

Answer:

D. Order a daily inhaled corticosteroid medication

Question 6