Deck 48: The Child With Alterations in Respiratory Function

Question 1

Following parental teaching,the nurse is evaluating the parents' understanding of environmental control for their child's asthma management.Teaching has been understood by the parents if they state:

A)"We will replace the carpet in our child's bedroom with tile."
B)"We're glad the dog can continue to sleep in our child's room."
C)"We'll be sure to use the fireplace often to keep the house warm in the winter."
D)"We'll keep the plants in our child's room dusted."

Answer 1

"We will replace the carpet in our child's bedroom with tile."

Question 2

A child is admitted with epiglottitis,and needs an x-ray.The nurse orders the x-ray to be done:

A)By transporting the child to the X-ray Department on a cart.
B)Portable in the unit's waiting room.
C)Portable in the child's hospital room.
D)By transporting the child to the X-ray Department in a parent's arms.

Answer 2

Portable in the child's hospital room.

Question 3

A child is on rifampin (Rimactane)for treatment of tuberculosis.The parents call the clinic and report that the child's urine is orange.The nurse should advise the parents to:

A)Bring the child to the clinic for a urinalysis.
B)Bring the child to the clinic for an x-ray of the kidneys.
C)Expect orange-colored urine while the child is on rifampin.
D)Encourage the child to drink cranberry juice.

Answer 3

Expect orange-colored urine while the child is on rifampin.

Question 4

The nurse is performing a respiratory assessment on a pediatric client.Identify the area where the nurse would assess for substernal retractions.

Question 5

Supportive care for the family of an infant with sudden infant syndrome (SIDS)includes:

A)Interviewing the parents to determine the cause of the SIDS incident.
B)Allowing the parents to hold,touch,and rock the infant.
C)Sheltering the parents from grief by not giving them any personal items of the infant's,such as footprints.
D)Advising the parents that an autopsy is not necessary.

Question 6

The nurse is teaching a group of infants' mothers about the benefits of immunizations.The nurse will explain that the life-threatening disease epiglottitis can be prevented by immunizing against:

A)Measles,mumps,and rubella (MMR).
B)Haemophilus influenzae type B (Hib).
C)Hepatitis B
D)Polio.

Question 7

A newborn is suspected of having cystic fibrosis.As the child is being prepared for transfer to a pediatric hospital,the mother asks the nurse what symptoms made the physician suspect cystic fibrosis.The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is:

A)Steatorrheic stools.
B)Constipation.
C)Meconium ileus.
D)Rectal prolapse.

Question 8

An appropriate nursing diagnosis for an infant with acute bronchiolitis due to respiratory syncytial virus would be:

A)Activity intolerance.
B)Decreased cardiac output.
C)Pain,acute.
D)Tissue perfusion,ineffective (peripheral).

Question 9

A nurse is assessing an infant.The assessment that might indicate the infant's respiratory status is worsening is:

A)Acrocyanosis.
B)An arterial CO2 of 40.
C)Periorbital edema.
D)Grunting respirations with nasal flaring.

Question 10

A child is admitted to the hospital with pneumonia.The child's oximetry reading upon admission to the pediatric floor is 88.The priority nursing activity for this child would be to:

A)Obtain a blood sample to send to the lab for electrolyte analysis.
B)Begin oxygen per nasal cannula at 1 liter.
C)Medicate for pain.
D)Begin administration of intravenous fluids.

Question 11

The nurse is teaching the parents of a newly diagnosed cystic fibrosis client how to administer the pancreatic enzymes.The nurse will advise the parents to administer the enzymes:

A)b.i.d.
B)With meals and large snacks.
C)Every 6 hours around the clock.
D)q.i.d.

Question 12

A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB).The nurse should be prepared to:

A)Administer nebulized epinephrine and oral or IM dexamethasone.
B)Administer antibiotics and assist with possible intubation.
C)Swab the throat for a throat culture.
D)Obtain a sputum specimen.

Question 13

A child is showing signs of acute respiratory distress.The child should be positioned:

A)Upright.
B)Side-lying.
C)Flat.
D)In low Fowler's.

Question 14

A nurse delegates the task of infant vital sign assessment to a nurse technician.The nurse should instruct the technician to:

A)Report any infant using abdominal muscles to breathe.
B)Report any infant with a breathing pause that lasts 10 seconds or less.
C)Count respirations for 15 seconds and multiply by 4 to get the rate for 1 minute.
D)Report any infant with a breathing pause that lasts 20 seconds or longer.

Question 15

A physician has changed a child's asthma medication to salmeterol (Serevent).The mother asks the nurse what this drug will do.The nurse should explain that salmeterol (Serevent)is used to treat asthma because the drug:

A)Is an anti-inflammatory.
B)Decreases mucus production.
C)Controls allergic rhinitis.
D)Is a bronchodilator.