Deck 25: The Child with a Respiratory Disorder

Question 1

The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely.The nurse recognizes these symptoms as:

A) severe asthma attack.
B) allergic response to theophylline.
C) onset of bronchitis.
D) drug toxicity.

Answer 1

drug toxicity.

Question 2

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS).Significant information would include:

A) wrapping the infant snugly for rest periods.
B) positioning the infant prone for sleep.
C) sitting the infant up in an infant seat.
D) placing infants on their backs or sides for sleep.

Answer 2

placing infants on their backs or sides for sleep.

Question 3

The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea.Appropriate fluids would be:

A) room temperature water.
B) carbonated beverages.
C) iced fruit juice.
D) cold milk.

Answer 3

room temperature water.

Question 4

The parents of a 3-month-old infant with cystic fibrosis (CF)want to know how their child got this disease,because no one in either of their families has CF.The nurse's response is based on the understanding that with CF:

A) only one parent carries the CF gene.
B) both parents are carriers of the CF gene.
C) the inheritance pattern is multifactorial.
D) the result is probably a genetic mutation.

Question 5

The best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy is:

A) a Popsicle.
B) chocolate milk.
C) orange juice.
D) cola drink.

Question 6

The nurse caring for a child experiencing an acute asthma attack would:

A) offer plenty of fluids, particularly carbonated beverages.
B) place the child in a humidified cool mist tent with oxygen.
C) administer sedatives as ordered to decrease anxiety.
D) position the child with arms resting on the overbed table.

Question 7

The nurse explains to the parent of a child with exercise-induced asthma that Cromolyn,an antiinflammatory drug,should be inhaled:

A) before exercise to prevent attacks.
B) at the initial onset of the attack.
C) during the attack to relieve symptoms.
D) as often as 4 times a day.

Question 8

The nurse,auscultating the breath sounds of a child hospitalized for an acute asthma attack,would expect to find the classic sign of:

A) fine crackles.
B) coarse rhonchi.
C) expiratory wheezing.
D) decreased breath sounds at lung bases.

Question 9

To facilitate digestion and absorption of nutrients,the nurse teaches the child with cystic fibrosis that she needs to take:

A) pancreatic enzymes.
B) water-soluble minerals.
C) fat-soluble vitamins.
D) salt supplements.

Question 10

The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder to prevent:

A) discoloration of tooth enamel.
B) halitosis.
C) irritation of oral membranes.
D) candidiasis.

Question 11

The nurse auscultating breath sounds of an infant with respiratory syncytial virus would immediately report the assessment of:

A) respiration rate decrease from 40 to 32 breaths/min.
B) heart rate decrease from 110 to 100 beats/min.
C) "quiet chest" from previous assessment of wheezing.
D) oxygen saturation of 90%.

Question 12

The nurse describes the "allergic salute" as a cluster of what signs related to chronic allergy? Select all that apply.

A) Mouth breathing
B) Transverse nasal crease
C) Dark circles under the eyes
D) Productive cough
E) Reddened conjunctiva

Question 13

The nurse tells the parents of a child who has a positive throat culture for group A hemolytic streptococcus that the treatment most likely will be:

A) acetaminophen and plenty of fluids.
B) oral penicillin for 10 days.
C) penicillin until his sore throat is gone.
D) streptococcus immunization.

Question 14

The nurse would observe a child for frequent swallowing following a tonsillectomy and adenoidectomy (T&A)because this is indicative of:

A) bleeding from the surgical site.
B) pain at the incision area.
C) sore throat from postnasal drip.
D) potential vomiting.

Question 15

An infant is hospitalized with RSV bronchiolitis.The priority nursing diagnosis is:

A) fatigue related to increased work of breathing.
B) ineffective breathing pattern related to airway inflammation and increased secretions.
C) risk for fluid volume deficit related to tachypnea and decreased oral intake.
D) fear and/or anxiety related to dyspnea and hospitalization.

Question 16

The nurse would advise a mother to clear the nostrils when her infant has a cold by:

A) clearing the nasal passages after the infant has a feeding.
B) using over-the-counter nose drops to clear passages.
C) removing nasal secretions with a bulb syringe.
D) instilling saline nose drops after clearing away secretions.

Question 17

The nurse caring for a 3-year-old who suffered a smoke inhalation injury is aware that pulmonary edema is a threat ______ hours after exposure

A) 2
B) 4
C) 18
D) 72

Question 18

The initial intervention that the nurse would suggest to the parents of a child experiencing laryngeal spasm is to:

A) take the child outside in the cool air.
B) bring the child directly to the emergency department.
C) take the child to the bathroom and turn on a hot shower.
D) have the child drink plenty of fluids.

Question 19

The statement indicating that the child's parents understand how to perform respiratory therapy is:

A) "We do her postural drainage before the aerosol therapy. "
B) "We give her respiratory treatments when she is coughing a lot. "
C) "We give the aerosol followed by postural drainage before meals. "
D) "She needs respiratory therapy everyday when she has an infection. "

Question 20

The nurse is caring for a toddler with acute laryngotracheobronchitis.The assessment finding that would indicate the child is experiencing increased respiratory obstruction is:

A) restlessness.
B) tachycardia.
C) brassy cough.
D) expiratory wheezing.

Question 21

The nurse reviews Accolate and Zyflo,which are _______________ _______________;they are capable of blocking the inflammatory response as well as providing bronchodilation.

Question 22

After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications,the nurse explains that routine immunizations will need to be delayed for _______ months.

Question 23

What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include? Select all that apply.

A) Inhale deeply through nose with mouth closed.
B) Make exhalation twice as long as inhalation.
C) Use medicated inhaler prior to performing breathing exercise.
D) Exhale through mouth as if whistling.
E) Exhale forcefully.

Question 24

The nurse would suggest to the parents of an asthmatic child to encourage participation in which sport(s)? Select all that apply.

A) Swimming
B) Gymnastics
C) Baseball
D) Cross-country skiing
E) Distance running

Question 25

The nurse reports which assessment(s)that suggest a meconium ileus in a newborn? Select all that apply.

A) Abdominal distention
B) Vomiting
C) Hiccoughing
D) Jaundice
E) Absence of stool

Question 26

The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.