"My child likes sleeping on the top bunk when visiting grandparents." (Correct Answer)
Dust mites are a trigger for asthma. Fabric from bedding on the upper bunk can harbor dust mites. The child is not to sleep or lie down on upholstered furniture. Use furniture that can be wiped with a damp cloth such as wood, plastic, vinyl, or leather.
"My child sleeps on a zippered covered pillow and mattress."
This is an appropriate action. Encasing the mattress, box springs, and pillows in zippered, allergen-impermeable covers is the best action to prevent asthma triggers.
"My child changes his clothes after playing outside."
This is an appropriate action if the child plays outside as pollen, grass, and trees can also be a trigger for asthma. It is best if the child changes clothes after playing outside.
"My child wears a mask while I vacuum the carpets."
This is an appropriate action. The child should not be in the room when vacuuming occurs but if not possible the child should wear a mask to prevent breathing in dust that may be stimulated with vacuuming. It is preferable to remove carpets, but if removal is not possible, then vacuum once or twice per week.
Decision Tree:
This walk-through provides test-taking strategies to determine the correct answer for the different types of questions you will encounter on the NCLEX-RN exam. These strategies are based on the Kaplan Decision Tree (DT) algorithm, a technique that provides a process to determine the correct answer for NCLEX-style questions.
This is a Teaching and Learning Question.
For this type of question, you are evaluating if the client understands the information presented. Use these steps, based on the Kaplan Decision Tree, to determine the correct answer.
STEP 1: Can you identify the topic of the question?
- Incorrect information regarding asthma prevention.
STEPS 2-4: These steps are not relevant to this type of question because you do not need to use the rules for Teaching and Learning questions. Move to Step 5.
STEP 5: Evaluate each answer choice.
Ask yourself:
- Is this a true statement for the topic? If yes, keep the answer choice.
- Is this a false statement for the topic? If yes, eliminate the answer choice.
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Look at each answer option that remains and ask, "What outcome do you want for this client?"
- Does it make sense in this situation? If yes, keep the answer choice.
- Will it help the client? If yes, keep the answer choice.
- Will it hurt the client? If yes, eliminate the answer choice.
Evaluate the answer choices
1. "My child likes sleeping on the top bunk when visiting grandparents." Dust mites are a trigger for asthma and fabric from bedding on the upper bunk can harbor dust mites; therefore, further teaching is needed.
2. "My child sleeps on a zippered covered pillow and mattress." Encasing the mattress, box springs, and pillows in zippered, allergen-impermeable covers is the best action to prevent asthma triggers. Therefore, no further teaching is needed. Eliminate.
3. "My child changes his clothes after playing outside." Pollen, grass, and trees can also be a trigger for asthma so if the child changes clothes after playing outside the no further teaching would be needed. Eliminate.
4. "My child wears a mask while I vacuum the carpets." The child should wear a mask to prevent breathing in dust that may be stimulated with vacuuming; therefore, no further teaching would be needed. Eliminate.
Select the best choice:
Is #1 the correct answer? Yes, dust mites can be found on upper bunk beds, can trigger asthma, and should be avoided.
Does #1 make sense? Yes, this statement requires further teaching by the nurse.
