meds & ped ch 40
An infant with suspected cystic fibrosis is scheduled for a duodenal analysis. The parent asks, "I thought cystic fibrosis affects the lungs. So how will this test help?" Which response by the nurse would be appropriate?
"This test helps show how much of the pancreas is affected."
The nurse is concerned that a school-age child is developing pneumonia. What did the nurse most likely assess in this client?
- rales - elevated temperature - productive, harsh cough
While caring for a 3-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next?
Assess the child's respiratory status.
Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis?
Assisting with racemic epinephrine nebulizer therapy
The nurse is caring for a child immediately following a tonsillectomy. The child requests something to drink. Which action by the nurse is best?
Give the child a few ice chips to consume.
What measure at home could help a child with an upper respiratory infection breathe more easily?
Increasing room humidity
The nurse is assessing a school-aged child with asthma. Which assessment finding indicates that this client's asthma is well controlled?
Peak flow meter reading in the green zone
A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Sit the child upright and apply pressure to the sides of the nose.
The nurse is evaluating teaching provided to a school-age child and parents about the medication pancrelipase for cystic fibrosis. Which observation indicates that the teaching has been effective?
The child takes a dose before having an afternoon snack.
A 2-year-old toddler is seen for acute laryngotracheobronchitis. What observation would lead the nurse to suspect airway occlusion?
The respiratory rate is gradually increasing.
. A 4-year-old child with asthma is prescribed fluticasone as part of thetreatment plan. After teaching the parents about this medication, the nurse determines that additional teaching is needed based on which statement?
"We should use this medicine for an acute attack."
The nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?
A cough that accompanies a cold should rarely be suppressed.
A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?
"We will sit the child upright and foward and apply pressure to the sides of the nose."
A child living in a high-risk area for tuberculosis is tested and the interferon- gamma release assay (IGRA) result is positive. The child's parent asks, "So what happens next?" Which response by the nurse is appropriate?
"Your child will need to have a chest x-ray as a follow-up."
The nurse is teaching a 14-year-old child on the proper use of a metered-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions?
- Shake the canister before using. - Hold the breath for 5 to 10 seconds. - Activate the inhaler while taking a deep breath.
The nurse is caring for a child who has been brought to the clinic for the third time in a week for asthma symptoms. If the goal is to have the parents better manage the child's care, which information will the nurse emphasize?
- adhering to the recommended immunization schedule - importance of keeping child away from cigarette smokers - instruction on peak flow meters and nebulizer treatments - role of good hand washing to reduce transmission of disease
A 4-year-old child has been admitted to the hospital with a diagnosis of pneumococcal pneumonia. The parents are extremely distraught over the child's condition and the fact that the child has not wanted to eat anything for the past 2 days. Which nursing approach would be most important to take to help alleviate the high anxiety level of the parents?
Allow the parents to remain with the child as much as possible.
The nurse sees a 3-year-old child in the ambulatory setting for localized wheezing on auscultation. Which statement by the parent would be most important to report to the health care provider?
The child was eating peanuts yesterday
How is wheezing in children best heard?
as the child exhales
. A 6-year-old child was diagnosed as having streptococcal pharyngitis. At the follow-up visit, the nurse will assess the child for which potential complication?
development of rheumatic fever
A school-aged child is diagnosed with streptococcal pharyngitis. What should the nurse teach the parents about the care that this child will need at home?
Complete the entire course of antibiotics to prevent rheumatic fever.
A nurse is developing a teaching plan for the parents about medications prescribed to address the pulmonary issues for their child diagnosed with cystic fibrosis. Medication therapy focuses on keeping the lungs clear and treating infection. Which medication(s) will the nurse likely include in this plan?
- dicloxacillinD. - albuterol - E. dornase alfa
The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?
Continue to assess for bleeding.
The nurse is preparing discharge instructions for a school-aged child with a tracheostomy. On what should the nurse focus when teaching the parents about the child's care needs at home?
- performing the tracheostomy care independently - ensuring parent's comfort level with the suctioning - minimizing perfumes and eliminating room freshener sprays - obtaining a spare tracheostomy tube and inserter for the home
The nurse is making a follow-up visit to the home of a family with a babynewly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child's care needs?
Baby has gained weight.
