Respiratory Peds

A nurse caring for a client who tuberculosis and prescriptions rifampin pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen?

Liver function tests

A nurse is caring for a pre-school age who has epiglottitis with a barking cough. Which of the following actions should the nurse take

Monitor oxygen saturation

A nurse is caring for a client following a total laryngectomly. Which of the following is the priority observation in the client's care?

Need for suctioning

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

orthopnea

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

place the child on droplet precautions

A nurse is caring for a client whose arterial blood gas results show a pH of 73 and PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances ?

respiratory acidosis

A nurse is providing teaching to the parents of a week old intant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

We will rotate the probe of the pulse oximeter every 24 hours

The white costume that a dervish wears under the black cloak represents a burial garment, the shroud.

White coating in the mouth

A nurse in a admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration

Withhold fluids until the client demonstrates a gag reflex

A nurse is providing discharge teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse Identify as an indication that the client needs further teaching

"I will wear synthetic clothing and woolen socks when using my oxygen"

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission Which of the following responses by the parents indicates an understanding of the teaching?

"We'll discard his toothbrush and buy another."

A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?

48 min

A nurse monitoring an Infant who is 3 months old and has sneezing, coughing, nasal congestion Intermittent feverand apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses?

Bronchiolitis

A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?

Airway patency

A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

An infant who has pertussis and is receiving oxygen via nasal cannula

A home health nurse is teaching a child's parents about endotracheal suctioning. Which of the following information should the nurse include in the teaching

Apply suction for less than 10min

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed which of the following medications

Carvedilol

A nurse providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include the teaching (Select all that apply)

Check the cannula position on a regular basis Check the tops of the ears for skin breakdown Post "no smoking" signs in a prominent location in the home

A nurse providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albutero, both by nebulizer. Which the following statements by the client indicates an understanding of the teaching

I will be sure to take the albuterol before taking the cromolyn

A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS. Which of the following statements should indicate to the nurse the need additional teaching?

Our baby will sleep in our bed because I am breastfeeding

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

Perform pre-oxygenation prior to suctioning

A nurse attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse should take

Perform the heimlich manner

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis

Sweat chloride test

A nurse is providing discharge instructions a client who has asthma and is about to start taking theophyline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects

Tachycardia

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The client holds his breath for 10 seconds after inhaling the medication.

A nurse is admitting a client who has active tuberculosis room on a medical-surgical unit. of the following room assignments should the nurse make for the client?

A room with air exhaust directly to the outdoor environment

A in an emergency department is assessing a 3-yearold child who has a high fever, severe dysprea, and is drooling. Which of the following actions is the nurse's priority?

Prepare for nasogastric intubation

A nurse is providing oral care for a client who is immobileWhich of the following actions should the nurse take?

Turn the client on his side before starting oral care

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

Administer the medication 2hr before exercise.

A in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority

Administering a nebulized beta-adrenergic

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medication should the nurse expect to administer?

Albuterol

A nurse is providing education to a school-age child who has a new diagnosis of asthma . Which of the following statements should the nurse include in the teaching

Avoid triggers that cause an attack

A nurse caring for client who has hypertension and asks nurse about a prescription for propranolol. The should inform the client this medication is contraindicated have a history of of the following conditions?

Asthma

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and ap The nurse should document that the client which of the following respiratory alterations?

Cheyene- Strokes respiration

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?

Clear breath sounds

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

Clubbing of fingers Dyspnea Barrel chest

A nurse is caring for a client who is 12hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations?

Continuous bubbling in the water-seal chamber

A nurse developing a plan of care for a client who is postoperative . Which of the following interventions should the nurse include the plan prevent pulmonary complications?

Encourage the use of an incentive spirometer

A nurse caring for a school-age child who has persistent asthma. Which of the following is an expected (Select that apply)

Daytime symptoms occur more than twice a week Minor limitations occur with normal activity Peak expiratory flow (PEF) is greater than it equal to 80% of predicted value

A nurse is caring a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

Decreased Stridor

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

Dry the skin

A nurse teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction

I can detect the presence carbon monoxide by a metallic odor

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the ct indicates an understanding of the teaching?

I'll take this medication once a day in the evening

Anurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication

Increased respiratory rate of 18 to 44

A nurse is caring for a client who has a newly inserted chest drainage system with a water seal. Which of the following actions should the nurse take?

Keep the collection device below the level of the client's chest

A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the xray department. Which of the following actions should the nurse take?

Keep the drainage system below the level of the clients chest at all times

A nurse is assessing a client who has pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider

Movement of the trachea toward the unaffected side

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

Performing the procedure independently

A nurse caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother ?

Placing your child on her back when sleeping to decrease the risk of SIDS

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Propanolol

a nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. the nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

Red-colored urine

A nurse is providing teaching to a parent of a child who has acute group A Beta- hemolytic streptococci. Which of the following information should the nurse include in the teaching?

Replace the child'd toothbrush after 24 hrs on antibiotics.

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the AGBs?

Respiratory Acidosis

A nurse caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority

Respiratory rate

nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent bolus 10 minutes into the fusion of the third dosethe client reports that the IV site itches and that he feels dizzy and of breath. Which of the following actions hould the nurse take first?

Stop the infusion

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?

Suppress respiratory effort

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

The rate and rhythm of breath are irregular in newborns

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

Trendelenburg

A nurse is teaching a client who has asthma to use a metereddose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. (Move the steps into the box on the right placing them in the selected order of performance. Use all steps.)

a. Inhale deeply and then exhale completely b. Place lips firmly around mouthpiece c. Breathe in deeply over 2-3 seconds while pushing down on the canister d. Hold breath for 10 seconds e. Exhale slowly through pursed lips f. Wait 60 seconds between each puff

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take

administer a short-acting B2-agonist (SABA)-

nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT) . Which of the following actions should the nurse plan to take ?

administer albuterol prior to CPT

A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?

depression

A nurse planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?

elevate the head of the clients bed 30 to 45 degrees.

a nurse is assessing a 3 year old child who has aortic stenosis. which of the following findings should the nurse expect?

hypotension weak pulses murmur

A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?

suction two to three times with a 60 second pause between passes