Prep U Ch 40 (AutoRecovered).docx - What is the No 1 treatment for hypoxemia Correct response:Oxygen Explanation Oxygen is the most indicated treatment

Prep U Ch 40 (AutoRecovered).docx - What is the No 1...

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What is the No. 1 treatment for hypoxemia? Correct response:Oxygen Explanation:Oxygen is the most indicated treatment and is needed to increase low PaO2levels in the blood. Oxygen can be delivered by mask, nasal cannula, oxygen hood, oxygen tent, or mechanical ventilation.Question 2 What is a definitive test for cystic fibrosis?Correct response:Sweat chloride Explanation:The definitive test in diagnosing cystic fibrosis is the sweat chloride test. This test is performed by stimulating a small patch of sweat glands on the inner aspect of the forearm. There must be two positive tests and clinical symptoms to confirm the diagnosis. The other choices are routine diagnostic tests.Question 3 The nurse is examining a 4-year-old who is injured and crying. What might the nurse document about the child's breathing?Correct response: Tachypnea Explanation:Tachypnea (rapid breathing or panting) may be observed in a child with fear, anxiety, or stress. Slow, shallow, or regular respirations are normal. Tachycardia is an increased heart rate.Question 4 See full questionThe nurse is collecting data on a child admitted with a respiratory concern. The nurse notes that the child is anxious and sitting forward with the neck extended to breath. The signs the nurse noted indicate the child likely has: Correct response:epiglottitis. Explanation:The child with epiglottitis is very anxious and prefers to breathe by sitting forward with the neck extended. Immediate emergency attention is necessary.Question 5 The nurse is administering medications to a child with cystic fibrosis. Which method would the nurse mostlikely use to give medications to treat the pancreatic involvementseen in this disease? Correct response:Open capsule and sprinkle on food. Explanation:Pancreatic enzymes come in capsules that can be swallowed or opened and sprinkled on the child's food.
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Question 6 The caregivers of an 8-year-old bring their child to the pediatrician and report thatthe child has not had breathing problems before, but since taking up lacrosse the child has beencoughing and wheezing at the end of every practice and game. Their friend's child has often been hospitalized for asthma; they are concerned that their child has a similar illness. The nurse knows that because the problems seem to be directly related to exercise, it is likely that the childwill be able to be treated with: Correct response:a bronchodilator and mast cell stabilizers. Explanation:Mast cell stabilizers are used to help decrease wheezing and exercise-induced asthma attacks. A bronchodilator often is given to open up the airways just before the mast cell stabilizer is used. Corticosteroids are anti-inflammatory drugs used to control severe or chronic cases of asthma. Leukotriene inhibitors are given by mouth along with other asthma medications for long-term control and prevention of mild, persistent asthma.Question 7 The nurse is reinforcing teaching about medications with the parents of a 2-year-old who has cystic fibrosis. The nurse suggests that pancreatic enzymes may be given by which method? Correct response:Sprinkled onto the food Explanation:Pancreatic enzymes are used in the treatment of cystic fibrosis and are given by opening the capsule and sprinkling the medication on the child's food. If the child with cystic fibrosis has an infection, IV medications may be given, but this is not on a daily basis. Most children do not havea gastrostomy tube. Many of these drugs used in the treatment of asthma can be given either bya nebulizer (tube attached to a wall unit or cylinder that delivers moist air via a face mask) or a metered-dose inhaler [MDI], which is a hand-held plastic device that delivers a premeasured dose.Question 8 The nurse is caring for a 3-year-old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which action?Correct response:Suctioning a tracheostomy tube Explanation:Supplemental oxygenation may be necessary before, and is always performed after, suctioning achild with a tracheostomy tube. Providing tracheostomy care, administering drugs with a nebulizer, and suctioning with a bulb syringe do not require supplemental oxygen.Question 9 A 5-year-old girl who was already admitted to the hospital for an unrelated condition suddenly becomes irritable, restless and anxious. These may be early signs of respiratory distress in a child if accompanied by:Correct response:tachypnea. Explanation:Restlessness, irritability, and anxiety result from difficulty in securing adequate oxygen. These might be very early signs of respiratory distress, especially if accompanied by
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tachypnea (an increased respiratory rate). Retractions can be a sign of airway obstruction but occur more commonly in newborns and infants than in older children. Cyanosis (a blue tinge to the skin) indicates hypoxia, which may be a sign of airway obstruction but would not be the first. Children with chronic respiratory illnesses often develop clubbing of the fingers, a change in the angle between the fingernail and nailbed because of increased capillary growth in the fingertips. Clubbing would not occur in an acute airway obstruction, as is indicated in the scenario above.Question 10 A child with a severe lower respiratory tract infection has been prescribed an antibiotic and a bronchodilator. The nurse recognizes that which treatment would be bestfor delivering the medication directly into the respiratory tract, as well as providing moisture to promote removal of mucus?Correct response:Nebulizer When should the nurse count the respiratory rate of a child?You Selected:During sleep Correct response:During sleep Explanation:The respiratory rate should be counted on a child when they are quiet or asleep. This should be for one full minute and not create anxiety or stress for the child.Reference: Pillitteri, A. Maternal and Child Health Nursing, 6thed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1141. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1141Question 2 See full questionWhat is a symptom of bacterial pharyngitis?You Selected:Fever Correct response:Fever Explanation:
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Fever is a symptom of bacterial pharyngitis; other symptoms are an elevated white blood count (WBC), abrupt onset, headache, sore throat, abdominal discomfort, enlargement of tonsils, and firm cervical lymph nodes.Reference: Pillitteri, A. Maternal and Child Health Nursing, 6thed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1160-1161. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1160-1161 Question 3 See full questionIn caring for the child with asthma, the nurse recognizes that bronchodilator medications are administered to children with asthma for which reason? You Selected:Relief of acute symptoms Correct response:Relief of acute symptoms Explanation:Bronchodilators are used for quick relief of acute exacerbations of asthma symptoms. Mast cell stabilizers help to stabilize the cell membrane by preventing mast cells from releasing the chemical mediators that cause bronchospasm and mucous membrane inflammation. Leukotriene inhibitors are given by mouth along with other asthma medications for long-term control and prevention of mild, persistent asthma. Brochodilators are not effective for pain.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1136,1165-1168. Question 4 See full questionThe student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, thestaff nurse explains the cause of this symptom to be: You Selected:chronic lack of oxygen. Correct response:
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chronic lack of oxygen. Explanation:In the child with cystic fibrosis the development of a barrel chest and clubbing of fingers indicatechronic lack of oxygen. Impaired digestive activity may occur due to a lack of pancreatic enzymes. The high sodium concentration makes the child taste salty, but is not related to the barrel chest and clubbing of the fingers. Respiratory issues are a concern, but the barrel chest and clubbing of the fingers are not because of the child's respiratory capacity.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1176. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1176Question 5 See full questionThe nurse hears wheezing when auscultating a 4-year-old. Which condition would the nurse mostlikely rule out based on the assessment findings?Correct response:Influenza Explanation:Wheezing typically is not associated with influenza. Wheezing is caused by an obstruction of the bronchioles that may be caused by bronchiolitis, asthma, cystic fibrosis, or chronic lung disease. In addition, if the bronchiolitis is due to influenza, wheezing may be heard.Question 6 See full questionThe nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which test as mosthelpful in determining the extent of the child's hypoxia?You Selected:Pulse oximetry Correct response:Pulse oximetry Explanation:Pulse oximetry is a useful tool for determining the extent of hypoxia. It can be used by the nurse for continuous or intermittent monitoring. Pulmonary function testing measures respiratory flow and lung volumes and is indicated for asthma, cystic fibrosis, and chronic lung disease. Peakexpiratory flow testing is used to monitor the adequacy of asthma control. Chest radiographs can show hyperinflation, atelectasis, pneumonia, foreign bodies, pleural effusion, and abnormal heart or lung size.
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Question 7 See full questionA child is brought to the emergency department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that the child is experiencing croup. What would the nurse have mostlikely assessed?You Selected:Inspiratory stridor Correct response:Inspiratory stridor Explanation:A child with croup typically develops a bark-like cough often at night. This may be accompanied by inspiratory stridor and suprasternal retractions. Temperature may be normal or slightly elevated. A high fever, dysphagia, and toxic appearance are associated with epiglottitis.Reference: Pillitteri, A. Maternal and Child Health Nursing, 6thed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1165. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1165Question 8 See full questionNewborns who are born more than 24 hours after rupture of the amniotic membranes are particularly prone to developing pneumonia in their first few days of life.You Selected:True Correct response:True Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1170. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1170Question 9 See full question
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The nurse is caring for a 3-year-old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which intervention?You Selected:Suctioning a tracheostomy tube Correct response:Suctioning a tracheostomy tube Explanation:Supplemental oxygenation may be necessary before, and is always performed after, suctioning achild with a tracheostomy tube. Providing tracheostomy care, administering drugs with a nebulizer, and suctioning with a bulb syringe do not require supplemental oxygen.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1151. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1151Question 10 See full questionUpon providing discharge instructions home after a tonsillectomy and adenoidectomy, which is mostimportant? You Selected:Note any frequent swallowing Correct response:Note any frequent swallowing Marcy is 4 years old with cystic fibrosis. The nurse is trying to pick a method to teach Marcy a good way to exercise her lungs. Which would be the developmentally correct strategy to help Marcy?You Selected:Teach Marcy to blow bubbles. Correct response:Teach Marcy to blow bubbles. Explanation:
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A helpful exercise for Marcy would be to blow bubbles, a horn, or a pinwheel. This would help her exercise her lung capacity and is age appropriate for early childhood. The other exercises are all normal activities for school-aged children.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1148. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1148Question 2 See full questionThe nurse is performing a respiratory assessment on a child. The nurse includes five steps in herassessing technique: observation, inspection, palpation, and percussion. Which step was left out of her techniques?You Selected:Listening to the lung sounds Correct response:Listening to the lung sounds Explanation:Auscultation should be an important part of a respiratory assessment. The quality, intensity, andlocation of breath sounds is important and should be assessed and documented. The other choices are normal interactions with a child that may take place.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1138, 1140, 1164-1165. Question 3 See full questionA child is brought to the emergency department late one evening and is diagnosed with croup. The child was noted to have a shrill, harsh respiratory sound when breathing in. This symptom isreferred to as: You Selected:stridor. Correct response:stridor.
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Explanation:In the child with croup syndrome, inspiratory stridor (shrill, harsh respiratory sound) is often noted.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1158, 1159. Question 4 See full questionThe caregivers of a child who was diagnosed with cystic fibrosis 5 months ago report that they have been following all of the suggested guidelines for nutrition, fluid intake, and exercise, but the child has been having bouts of constipation and diarrhea. The nurse tells the caregiver to increase the amount of which substance in the child's diet? You Selected:Iodized salt Correct response:Pancreatic enzymes Explanation:Adequate nutrition helps the child resist infections. Pancreatic enzymes must be administered with all meals and snacks. If the child has bouts of diarrhea or constipation, the dosage of enzymes may need to be adjusted. The child's diet should be high in carbohydrates and protein with no restriction of fats. The child may need 1.5 to 2 times the normal caloric intake to promote growth. Low-fat products can be selected if desired. The child also may require additional salt in the diet. Increased caloric intake compensates for impaired absorption.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 115-1179. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 115-1179 Question 5 See full questionThe nurse is bottle feeding an infant diagnosed with pneumonia. An important action for the nurse to take is clearing the infant's nose, and then the nurse should feed the infant using whichof the following? You Selected:
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A nipple that is small enough so that the baby doesn't choke, but not so small that he or she has to work too hard to eat Correct response:A nipple that is small enough so that the baby doesn't choke, but not so small that he or she has to work too hard to eat Explanation:For the infant with pneumonia, use the smallest nipple so that he or she does not choke, but also does not have to work too hard. A large-holed nipple would allow the fluids to flow too quickly and likely choke the infant. Working too hard with a small-holed nipple would wear the infant out and require the use of excessive energy. There is no need for a special nipple.Question 6 See full questionWhat statement is the mostaccurate regarding the structure and function of the newborn's respiratory system? You Selected:Most infants are nasal breathers rather than mouth breathers. Correct response:Most infants are nasal breathers rather than mouth breathers. Explanation:Newborns are obligatory nose breathers until at least 4 weeks of age. The diameter of the infant and child's trachea is about the size of the child's little finger. The respiratory tract grows and changes until the child is about 12 years of age. During the first 5 years of life, infants and young children have larger tongues in proportion to their mouths.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1152. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1152Question 7 See full questionThe caregivers of a child report that their child had a cold and complained of a sore throat. When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse recognizes these symptoms as those seen with which disorder? You Selected:
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Epiglottitis Correct response:Epiglottitis Explanation:The child with epiglottitis may have had a mild upper respiratory infection before the development of a sore throat, and then became anxious and prefers to breathe by sitting up and leaning forward with the mouth open and the tongue out. The child with tonsillitis may havea fever, sore throat, difficulty swallowing, hypertrophied tonsils, and erythema of the soft palate.Exudate may be visible on the tonsils. The child with acute laryngotracheobronchitis develops hoarseness and a barking cough with a fever, cyanosis, heart failure; acute respiratory embarrassment can also result.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1159-1162. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1159-1162 Question 8 See full questionThe nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis. Which laboratory/diagnostic tools would mostlikely be used to help determine the diagnosis of this child? You Selected:Sweat sodium choloride test Correct response:Sweat sodium choloride test Explanation:Sweat sodium choloride tests are used for determining the diagnosis of cystic fibrosis. Purified protein derivative tests are used to detect TB. Blood culture and sensitivity is done to determine the causative agent as well as the antiinfective needed to treat an infection. Pulmonary function tests are diagnostic tools for the child with asthma and indicate the amount of obstruction in thebronchial airways, especially in the smallest airways of the lungs.Reference:
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Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1176. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1176Question 9 See full questionA nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which would the nurse instruct the parents to administer orally?You Selected:Pancreatic enzymes Correct response:Pancreatic enzymes Explanation:Pancreatic enzymes are administered orally to promote adequate digestion and absorption of nutrients. Recombinant human DNase, bronchodilators, and anti-inflammatory agents are typically administered by inhalation.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1175-1179. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1175-1179 Question 10 See full questionThe nurse makes the statement that if an older child inhales a foreign body, the inhaled object ismore likely to be drawn into the right bronchus rather than the left. What is the basis for this statement? You Selected:The left bronchus is more vertical than the right. Correct response:The right bronchus is shorter and wider than the left.What is the mostcommon debilitating disease of childhood among those of European descent?You Selected:Cystic fibrosis
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Correct response:Cystic fibrosis Explanation:Cystic fibrosis is the most common debilitating disease of childhood among those of European descent. Medical advances in recent years have greatly increased the length and quality of life for affected children, with median age for survival being the late 30s.Reference: Pillitteri, A. Maternal and Child Health Nursing, 6thed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1181. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1181Question 2 See full questionWhen the nurse assesses the respiratory status of a child, which diagnostic test is the most accurate and useful in reflecting the status? You Selected:Pulse oximetry Correct response:Blood gas Explanation:The most accurate and useful diagnostic test for respiratory status is arterial blood gas. It is important as a nurse to know the normal value ranges for children. The other tests are important but not the most accurate.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1139, 1170. Question 3 See full questionThe nurse is collecting data on a child admitted with a respiratory concern. The nurse notes that the child is anxious and sitting forward with the neck extended to breath. The signs the nurse noted indicate the child likely has: You Selected:epiglottitis.
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Correct response:epiglottitis. Explanation:The child with epiglottitis is very anxious and prefers to breathe by sitting forward with the neck extended. Immediate emergency attention is necessary.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1167. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1167Question 4 See full questionA caregiver calls the pediatrician's office and reports to the nurse that her 4-year-old, who was fine the previous day, complained of a sore throat early in the morning and now has a temperature of 102.6°F (39.2°C). The caregiver has tried to get the child to nap but the child gets panicky, immediately sits back up, and leans forward with her mouth open and tongue out whenthe caregiver encourages her to lie down. The nurse suspects the child has which condition? You Selected:Epiglottitis Correct response:Epiglottitis Explanation:Epiglottitis is acute inflammation of the epiglottis that most often affects children ages 2 to 7 years. The child may have been well or may have had a mild upper respiratory infection before the development of a sore throat (difficulty swallowing) and a high fever of 102.2to 104(39to 40). The child is very anxious and prefers to breathe by to sitting up and leaning forward with the mouth open and the tongue out. This is called the tripodposition. Immediateemergency attention is necessary. Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1167. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1167Question 5 See full question
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The nurse is caring for a child who has been admitted with a diagnosis of asthma. What laboratory/diagnostic tool would likely have been used for this child? You Selected:Pulmonary functions test Correct response:Pulmonary functions test Explanation:Pulmonary function tests are valuable diagnostic tools for the child with asthma and indicate theamount of obstruction in the bronchial airways, especially in the smallest airways of the lungs. Purified protein derivative tests are used to detect TB. Sweat sodium choloride tests are used fordetermining the diagnosis of cystic fibrosis. Blood culture and sensitivity is done to determine the causative agent as well as the anti-infective needed to treat an infection.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1167. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1167Question 6 See full questionThe nurse is reinforcing teaching with a group of caregivers of children diagnosed with asthma. Which statement bestindicates an understanding of the management and treatment for this diagnosis? You Selected:“We have taken the carpet out of our house and let my mom take our dog.” Correct response:“We have taken the carpet out of our house and let my mom take our dog.” Explanation:Families must make every effort to eliminate any possible allergens from the home. Prevention is the most important aspect in the treatment of asthma. Learning how to use a peak flow meter, using a peak flow and symptom diary, and having the medications available are important aspects of treatment, but prevention is the best.Reference:
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Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1166-1169. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1166-1169 Question 7 See full questionIn caring for the child with asthma, the nurse recognizes that which nursing diagnosis would be the highestpriority in this child's plan of care? You Selected:Ineffective airway clearance related to the diagnosis Correct response:Ineffective airway clearance related to the diagnosis Explanation:The highest priority for the child with asthma is to keep the airway clear because of the bronchospasms and increased pulmonary secretions the child may have. The child is more likelyto have deficient fluid volume related to tachypnea and diaphoresis. Infections can occur, but they are less of a concern than the airway clearance. Growth and development issues can occur because the child may have to limit activities, but these issues are not the priority.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1136, 1159, 1177, 1179. Question 8 See full questionThe nurse is assessing a 7-year-old boy with pharyngitis. What assessment finding would suggestthe child has developed a peritonsillar abscess? You Selected:Difficulty swallowing Correct response:Palatal edema Explanation:Peritonsillar abscess may be noted by asymmetric swelling of the tonsils, shifting of the uvula to one side, and palatal edema. Difficulty swallowing, sore throat, and headache are consistent
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with pharyngitis, as is the rash, which would be fine, red, and sandpaper-like (called scarlatiniform) but do not indicate a peritonsillar abscess..Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1154-1155. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1154-1155 Question 9 See full questionThe nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, andsits up with her neck thrust forward. Based on these findings, what would be least appropriate for the nurse to perform?You Selected:Providing 100% oxygen Correct response:Visualizing the throat Explanation:The child is exhibiting signs and symptoms of epiglottitis, which can be life-threatening. Under no circumstances should the nurse attempt to visualize the throat. Reflex laryngospasm may occur, precipitating immediate airway occlusion. Providing 100% oxygen in the least invasive manner that is most acceptable to the child is a sound intervention, as is allowing the child to assume a position of sitting forward with the neck extended. Auscultation would reveal breath sounds consistent with an obstructed airway.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, pp. 1160-1162. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1160-1162 Question 10 See full questionThe nurse is examining a 5-year-old boy. Which sign or symptom is a reliable firstindication of respiratory illness in children?You Selected:Rapid, shallow breathing
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Correct response:Rapid, shallow breathing What is a definitive test for cystic fibrosis?You Selected:Sweat chloride Correct response:Sweat chloride Explanation:The definitive test in diagnosing cystic fibrosis is the sweat chloride test. This test is performed by stimulating a small patch of sweat glands on the inner aspect of the forearm. There must be two positive tests and clinical symptoms to confirm the diagnosis. The other choices are routine diagnostic tests.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1176. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1176Question 2 See full questionThe nurse enters the room of Molly who has pneumonia. Molly has a low oxygen level and is working hard to breathe. The nurse raises the head of the bed and has Molly tilt her head back. What is the next appropriate action of the nurse?You Selected:Provide oxygen therapy to Molly. Correct response:Provide oxygen therapy to Molly. Explanation:Oxygen is the indicated treatment for hypoxia. Patency and opening of the airway is also important. The oxygen saturation level should be above 93%. The other choices will not increaseMolly's blood oxygen level or decrease her work of breathing.Reference:
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Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1139. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1139Question 3 See full questionThe nurse is administering medications to a child with cystic fibrosis. Which method would the nurse mostlikely use to give medications to treat the pancreatic involvement seen in this disease? You Selected:Open capsule and sprinkle on food. Correct response:Open capsule and sprinkle on food. Explanation:Pancreatic enzymes come in capsules that can be swallowed or opened and sprinkled on the child's food.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1177. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1177Question 4 See full questionThe caregivers of an 8-year-old bring their child to the pediatrician and report that the child has not had breathing problems before, but since taking up lacrosse the child has been coughing and wheezing at the end of every practice and game. Their friend's child has often been hospitalized for asthma; they are concerned that their child has a similar illness. The nurse knows that because the problems seem to be directly related to exercise, it is likely that the childwill be able to be treated with: You Selected:a bronchodilator and mast cell stabilizers. Correct response:a bronchodilator and mast cell stabilizers. Explanation:
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Mast cell stabilizers are used to help decrease wheezing and exercise-induced asthma attacks. A bronchodilator often is given to open up the airways just before the mast cell stabilizer is used. Corticosteroids are anti-inflammatory drugs used to control severe or chronic cases of asthma. Leukotriene inhibitors are given by mouth along with other asthma medications for long-term control and prevention of mild, persistent asthma.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1168. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1168Question 5 See full questionThe nurse is reinforcing teaching about medications with the parents of a 2-year-old who has cystic fibrosis. The nurse suggests that pancreatic enzymes may be given by which method? You Selected:Sprinkled onto the food Correct response:Sprinkled onto the food Explanation:Pancreatic enzymes are used in the treatment of cystic fibrosis and are given by opening the capsule and sprinkling the medication on the child's food. If the child with cystic fibrosis has an infection, IV medications may be given, but this is not on a daily basis. Most children do not havea gastrostomy tube. Many of these drugs used in the treatment of asthma can be given either bya nebulizer (tube attached to a wall unit or cylinder that delivers moist air via a face mask) or a metered-dose inhaler [MDI], which is a hand-held plastic device that delivers a premeasured dose.Reference: Pillitteri, A. Maternal and Child Health Nursing, 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder, p. 1177. Chapter 40: Nursing Care of a Family When a Child Has a Respiratory Disorder - Page 1177Question 6 See full questionThe nurse caring for the child with asthma weighs the child daily. What is the mostimportant reason for doing a daily weight on this child? You Selected:
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  • Spring '17
  • Acevedo
  • respiratory disorder, Child Health Nursing

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