A nurse is reinforcing teaching with the guardian of a school-age child who has asthma.Which of the following instructions should the nurse include in the teaching?

Choice A rationaleObtaining a pneumococcal immunization is crucial for children with asthma as they face higher risk for respiratory infections. Vaccination strengthens the immune system against pneumococcal bacteria, preventing complications like pneumonia or bronchitis. Immunization reduces hospitalizations and enhances respiratory health, critical for asthma management. Scientific evidence supports vaccination in asthmatic populations to decrease disease burden.Choice B rationaleSalmeterol, a long-acting beta agonist, is inappropriate for acute asthma exacerbations due to its delayed onset of action. Acute exacerbations require fast-acting bronchodilators like albuterol for rapid symptom relief. Using salmeterol during acute attacks can result in delayed therapeutic intervention, risking severe respiratory distress.Choice C rationalePreventing participation in school sports is inaccurate as regular physical activity strengthens respiratory muscles and improves overall lung function. Guided activity under medical advice fosters improved asthma management. Avoidance promotes inactivity, which may contribute to obesity and worsen asthma control, conflicting with current pediatric recommendations.Choice D rationaleInhaling deeply and quickly when using a peak flow meter provides inaccurate readings. Correct usage involves slow, deep breaths followed by rapid exhalation to obtain reliable peak flow measurements. This technique accurately reflects airway status, guiding asthma treatment adjustments. Misuse compromises data, impairing asthma management.