peds quiz 2
When preparing a child with asthma for discharge, what instructions must the nurse emphasize to the family?
-Eliminate allergens in the home -Continue the medications even if the child is asymptomatic
After multiple upper respiratory infections, a school-aged child undergoes a tonsillectomy and adenoidectomy. Two weeks after surgery the nurse assesses the child's condition. On what should the nurse focus? Select all that apply.
-Taste -Smell -Hearing -Breathing
A client is receiving albuterol (Proventil) to relieve severe asthma. For which clinical indicators should the nurse monitor the client?
-Tremors -Palpitations
8 year old child with a history of asthma is brought to the ed for respiratory distress, the nurse immediately places the child in the bed with the head of the bed elevated and administers oxygen via face mask. The healthcare provider performs a physical assessment, writes a prescription and admits the child to the pediatric unit. Which instruction of the nurse should carry out first?
Administer albuterol
When interacting with parents of a SIDS. The nurse should attempt the parents with?
Allaying feelings of guilt and blame
Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome when the laboratory report reveals?
An increased Paco 2 of 55 mm Hg
The nurse educates the family of a newly admitted child with cystic fibrosis. The treatment will be centered on what therapy?
Chest physiotherapy and aerosol medication
A 6 month old infant is brought to the ed with severe respiratory distress a diagnosis of RSV infection made the infant admitted into the pediatric unit, what should be included in the nursing care plan?
Contact / droplet isolation precautions
The nurse is caring for a 4 year old child who has been hospitalized with acute asthma exacerbation which finding requires action by the nurse?
Diminished breath sounds
A nurse is advising a client about the risks associated with failing to seek treatment for acute pharyngitis cause by beta-hemolytic streptococcus. For what health problem is the client at risk?
Endocarditis
What is the main characteristic of cystic fibrosis?
Excessive, thick mucus
A 13-year-old child is hospitalized with an exacerbation of chronic bronchitis. What action should a nurse take to decrease retained secretions?
Increase fluid intake to at least 2000 mL/day
A year old arrives to the ED. child has a temperature of 102.4, the respiratory rate is 44 and is agitated. The child is diagnosed with epiglottitis. You note that the child is sitting up positioning forward and the tongue is protruding and the mouth is open. Which nursing intervention below is NOT appropriate at this time?
Keep the child in the supine position
On return to the pediatric unit after a tonsillectomy. A nurse notes that a 4 year old child is swallowing frequently. What is the probably cause of this response?
Post op bleeding
An infant is admitted to the pediatric unit with bronchitis caused by the respiratory syncytial virus (RSV). What medication does the nurse anticipate that the practitioner will prescribe?
Ribavirin
A nurse is caring for a client with pulmonary tuberculosis who is to receive several antitubercular medications. Which if the first line antitubercular medications is associated with damage to the eight cranial nerve?
Streptomycin
4 month old infant is admitted to the pediatric unit with severe tachypnea. Flaring of the nares, wheezing and irritability. The provider says the child has bronciohilitis and needs to be hospitalized for observation and treatment. While evaluating the infant, the nurse determine the infant is in respiratory failure, what clinical findings supports the nurses conclusion?
Sudden absence of breath sounds
A client is experiencing severe early respiratory distress what response should the nurse expect the client to exhibit?
Tachypnea
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. Which response would be the most correct?
The child's rapid respiration pose a risk for aspiration
A 30 month old toddler is brought to the emergency department in acute respiratory distress an diagnosis of laryngotrachealbronchits (?) is made. What is the most important equipment for the nurse to have available when the child is admitted to the pediatric unit?
Tracheotomy set
The parent of an infant with newly diagnosed cystic fibrosis ask a nurse what cause the foul-smelling, frothy stool. What is the best response by the nurse?
Undigested fat
During a 4 month well visit with a patient and her mom. You educate the parent with the most common cause of epiglotitis. You explain that the most common cause of this condition is _____ in addition you explain that ____ can help prevent most cases of the condition?
haemophilus influenzae type b, Hib vaccine