PEDS Resp Distress
you should administer 5 back blows followed by 5 chest thrusts
The parent of a 9-month-old calls the ER because his child is choking on a marble. The parent asks how to help his child while awaiting Emergency Medical Services.
wheezing
a 2 year old is diagnosed with cf. what early symptoms should the parents see in their child
bronchoscopy
a 3Y is brought to ED with coughing and gagging. the parent reports that the child was eating carrots when she began to gag. which diagnostic evaluation will be used to determine whether the child has aspirated carrots
1) instilling saline nose drops and bulb suctioning 2) providing humidity and propping the head of the bed up
a 7 month old has a low grade fever, nasal congestion, and a mild cough. what should the nursing care of this child include
i will ask the nurse practitioner for some amoxicillin
a child is complaining of throat pain. what statement made by the mother indicates she needs more education regarding the care and treatment of her child's pharyngitis
prevention of aspiration pneumonia
a child with severe cerebral palsy is admitted to the hospital with aspiration pneumonia. what is the most beneficial educational information that the nurse can provide to the parents
60
a chloride level of greater then _____ is positive indicator of CF.
give tylenol every 4-6 hours prn for pain
a parent asks how to care for a child at home who has a diagnosis of viral tonsillitis. what is best nurse response
lateral neck x-ray of the soft tissue
diagnostic for epiglottitis
Not compliant with taking her enzymes
how does the nurse interpret the lab analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis
iv antibiotics
nurses best response to the parent of a child diagnosed with epiglottitis who asks what the tx is
albuterol
quick relief med to a child with asthma who is coughing, wheezing, and having difficulty catching her breath?
be sure to have adequate amount of fluids, the appetite will return
school age child dx with nasopharyngitis. the parent is concerned that the child has no appetite, what should the nurse respond with?
30 minutes before feeding the child breakfast
the parent of a 4 month old with cf asks the nurse what time to begin the child's first chest phsyiotherapy each day. Which is the nurse's best response?
1.) 13 month old with recurrent ear infections 2.) 2 year old who has had 5 previous ear infections
what children would benefit most from having ear tubes placed
1. providing high protein and high calorie diet 2. encouraging exercise 3. minimizing pulmonary complications 4. encouraging medication compliance
what does the therapeutic management of CF patients include
most common objects toddlers aspirate
what info will be the most helpful in teaching parents about the primary prevention of foreign body aspiration
tachypnea
what is the early sign of respiratory distress in a 2 month old
when was your child's last dose of medication?
what is the most important piece of info that the nurse musk ask the parent of a child in status asthmaticus
oral penicillin
what treatment will the child need for strep throat
child is in tripod position and has diminished breath sounds and a muffled cough
which assessment is of the greatest concern in a 15 month old
15 year old who has been vomiting for 3 days and has a fever of 38.5C (101.3F)
which child diagnosed with pneumonia would benefit most from hospitalization
2 month old who was born at 32 weeks
which child is at higher risk for requiring hospitalization to treat respiratory syncytial virus (RSV)
6 year old who has high fever, no spontaneous cough, and frog-like croaking
which child is in the greatest need of an emergency medical treatment
12 month old who has a mild cry, pale in color, diminished breath sounds, and 02 93%
which child with asthma should nurse see first
give 1/2 tsp of honey four to five times a day
which intervention is most appropriate to teach the mother of a child diagnosed with a URI and a dry, hacking cough that prevents him from sleeping
child could suffer recurrent ear infections
which is the nurse's best response to the parent of an infant diagnosed with the first otitis media who wonders about long-term effects
ABG
which laboratory result will provide the most important information regarding the respiratory status of a child with an acute asthma exacerbation?
grunting
which physical findings would be of most concern in an infant with respiratory distress
left side
which position would be most comfortable for a child with left-sided pneumonia
children with bacterial pneumonia are usually sicker than children with viral pneumonia
which statement about pneumonia is accurate
i should administer 2 quick puffs of the albuterol inhaler using a spacer
which statement by the parent of a child using an albuterol inhaler lead the nurse to believe that further education is needed on how to administer the medication?
the child of a mother who has cf and a father who is a carrier of the gene for cf has 50% chance of acquiring cf
which would the nurse explain to parents about the inheritance of cystic fibrosis
8 month old who attends day care
who is highest priority for receiving the flu vaccine
respiratory treatment of racemic epinephrine
5 year old brought to the ED with temp of 99.5, barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for?