Pediatric Questions #4 - Respiratory exam 2

The nurse cares for a 5-year-old child after a tonsillectomy and adenoidectomy. Which finding should alert the nurse to suspect early hemorrhage?

drooling of bright red secretions

Which statement indicates the parent needs further teaching on how to prevent his other children from contracting RSV?

"I should make sure that both my children receive palivizumab (Synagis) injections for the remainder of this year."

The parent of a child with frequent ear infections asks the nurse if there is anything that can be done to help avoid future ear infections. Which is the nurse's best response?

"You child should be kept away from tobacco smoke."

A child's parent asks the nurse what treatment the child will need for the diagnosis of strep throat. Which is the nurse's best response?

"Your child will need oral penicillin for 10 days and should feel better in a few days."

◦The mother of an 8-year-old child being treated for right lower lobe pneumonia at home calls the clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that ibuprofen (Motrin IB) is not effective. Which instruction should the nurse provide to the mother?

. Encourage the child to lie on the right side.

Which child with asthma should the nurse see first?

A 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an oxygen saturation of 93%.

Which child is in the greatest need of emergency medical treatment?

A 6-year-old who has high fever, no spontaneous cough, and froglike croaking.

A 5-year-old is brought to the ED with a temperature of 99.5°F (37.5°C), a barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for?

Respiratory treatment of racemic epinephrine

Which would be an early sign of respiratory distress in a 2-month-old?

Tachypnea.

A child with cystic fibrosis does not like taking a pancreatic enzyme supplement with meals and snacks. The parent does not like to force the child to take the supplement. What is the most important reason for the child to take the pancreatic enzyme supplement with meals and snacks? The transplant will cure the child of CF and allow the child to lead a long and healthy life.

The child needs these pancreatic enzymes to help the digestive system absorb fats, carbohydrates, and proteins.

An 11-year-old child is admitted for treatment of an asthma attack. Which finding(s) would indicate immediate intervention is needed? Select all that apply.

a. Intercostal retractions b. Difficulty talking

◦The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the health care provider did not prescribe antibiotics. Which response should the nurse make?

◦Antibiotics are not indicated unless a bacterial infection is present."

◦A child with cystic fibrosis has been admitted to the pediatric unit. What type of diet should the nurse request for the client?

◦High-calorie, high-protein.

A clinic nurse receives a call from a mother of a 2-year-old. The mother states that the child has had a fever of 104F (40C), a sore throat, and has been drooling for a few days. The child is now sleepy. Which is the best advice by the nurse?

◦Take your child to the emergency room immediately."

◦A school aged child is admitted to the hospital for a tonsillectomy. During the nurse's post-operative assessment, the child's parent tells the nurse that the child is in pain. Which of the following observations would be of most concern to the nurse?

◦The child is excessively swallowing. (hemorrhage)