Chapter 18 Course-point Pediatrics

A 4-week-old infant is diagnosed with acute bronchiolitis. The parent states, "I do not know how the baby got this!" How should the nurse respond? "Do you have allergies in the family?" "Do any family members have history of asthma?" "Do you have air conditioning in your house?" "Has your infant been around any crowds?"

"Has your infant been around any crowds?"

The pediatric unit has multiple clients experiencing upper respiratory system complications. Which pediatric client is at the highest risk for respiratory distress? 3-year-old child with croup 11-month-old infant with nasopharyngitis 2-year-old child with epiglottitis 16-year-old adolescent with asthma

2-year-old child with epiglottitis

The nurse working at the child community clinic must administer the influenza vaccine to the high-risk children first. Which child would she choose first? 12-month-old client who is very healthy 21-month-old client who has a cold 23-month-old client who had heart surgery as an infant for a defect 22-month-old client who has a wound from touching a hot pan at home

23-month-old client who had heart surgery as an infant for a defect

The nurse is teaching the caregivers of a child with cystic fibrosis. What is most important for the nurse to teach this family? Be sure the child exercises daily. Watch out for signs that family members are overly stressed. Avoid overprotecting the child. Encourage everyone in the family to use good handwashing techniques.

Encourage everyone in the family to use good handwashing techniques.

In caring for the child with asthma, the nurse recognizes that which nursing diagnosis would be the highest priority in this child's plan of care? Delayed growth and development related to physical restrictions Risk for fluid volume excess related to medications Risk for infection related to anatomic structures of involved body system Ineffective airway clearance related to the diagnosis

Ineffective airway clearance related to the diagnosis

What statement is the most accurate regarding the structure and function of the newborn's respiratory system? The diameter of the child's trachea is the same as that of adults. Most infants are nasal breathers rather than mouth breathers. The respiratory tract in the child is fully developed by age 2. Infants and young children have smaller tongues in proportion to their mouths

Most infants are nasal breathers rather than mouth breathers.

The nurse is taking a respiratory history of a newly admitted child. While documenting the symptoms the child has, what other item is important to document when taking a history on an altered respiratory status? The child's weight The child's diet The child's hospital history The triggers in the environment

The triggers in the environment

The nurse is admitting a child who is experiencing an asthma attack. Which clinical manifestation would likely be noted in this child? Wheezing Chest retractions Hoarseness Circumoral cyanosis

Wheezing

The nurse is caring for a 5-year-old girl who shows signs and symptoms of epiglottitis. The nurse recognizes a common complication of the disorder is for the child to: report ear pain. experience nuchal rigidity. have unilateral breath sounds upon auscultation. be at risk for respiratory distress.

be at risk for respiratory distress.

The nurse identifies a nursing diagnosis of Ineffective airway clearance related to inflammation and copious thick secretions. What action is the priority? suctioning secretions from the airway administering oxygen as ordered monitoring oxygen saturation by pulse oximeter administering analgesics as ordered

suctioning secretions from the airway

If there is a foreign body in the larynx, how will the client present? edematous speaks clearly quietly with stridor

with stridor