Week 3
A healthcare provider prescribes inhaled corticosteroids for a 6 year old child with asthma. The nurse concludes that the mother understands the teaching about the side effects of this medication when the mother makes which statement? - "I'll watch for frequent urination." - "I'll monitor for an increased blood glucose level." - "I'll check for white patches in the mouth." - "I'll be alert for short episodes of not breathing."
"I'll check for white patches in the mouth."
Select all the signs and symptoms that can present in a child with epiglottitis? - difficulty swallowing - drooling - stridor - exudate on tonsils - barking cough - high fever - slow onset of symptoms - crackles
- difficulty swallowing - drooling - stridor - high fever
Which medications does the nurse expect to be prescribed for a preschooler with newly diagnosed cystic fibrosis? Select all that apply. - antihistamines - steroids - fat soluble vitamins - antibiotics - pancreatic enzymes
- fat soluble vitamins - antibiotics - pancreatic enzymes
A nurse is teaching the parents of an 8 year old child who is taking a high dose of oral prednisone for asthma. What critical information about prednisone will be included? - it protects against infection - an early growth spurt may occur - it should be stopped gradually - a moon shaped face will develop
- it should be stopped gradually - a moon shaped face will develop
A 7 year old child with cystic fibrosis is receiving an intravenous antibiotic. The medication is supplied in a 125 mL bag of 0.45% sodium chloride. It is to be infused over 30 minutes. At what rate should the infusion pump be set to deliver the medication in the prescribed time? Express your answer as a whole number. ___________ mL/hr
250 mL/hr
While caring for a client with asthma, the nurse auscultates a bilateral high-pitched, continuous whistling sound in the anterior lung fields. What finding does the nurse document in the medical record? - wheezes - stridor - rhonchi - crackles
wheezes
A 3 month old infant has been hospitalized with respiratory syncytial virus (RSV). Her respiratory rate is >80 breaths per minute. What is the priority intervention? - providing an antitussive agent whenever necessary - clustering care to conserve energy - administering an antiviral agent - offering oral fluids to promote hydration
clustering care to conserve energy
A 10 year old child with asthma performs a peak flow test and scores 78% of her personal best. In which range would she be considered? - green zone - yellow zone - red zone
yellow zone
The parents of an 18 month old toddler are anxious to know why their child has experienced several episodes of acute otitis media. What should the nurse explain to the parents about why toddlers are prone to middle ear infections? - immunologic differences between adults and young children - functional differences between eustachian tubes of younger and older children - structural differences between eustachian tubes of younger and older children - circumference differences between middle ear cavity size of adults and young children
structural differences between eustachian tubes of younger and older children
After a 5 year old child's tonsillectomy, the nurse notes that the child swallows frequently. What should the nurse conclude about the child's behavior? - the child is bleeding from the surgical site - this is a reaction from the general anesthesia - this is a sign of respiratory distress - the child is experiencing throat pain
the child is bleeding from the surgical site
