Saunders Throat/Resp

A child is scheduled for a tonsillectomy. The nurse plans care, knowing that which condition would be a priority because it presents the highest risk of aspiration during surgery

Presence of loose teeth

The ED nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction

The child is leaning forward with the chin thrust out

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement should the nurse make to the parent

The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination

The mother of a child with cystic fibrosis asks the clinic nurse about the disease. What should the nurse tell the mother about CF

A chronic multisystem disorder affecting the exocrine glands

The mother of a hospitalized 2 year old with viral laryngotracheobronchitis (croup) asks the nurse why the pediatrician did not prescribe abx. Which response should the nurse make

Abx are not indicated unless a bacterial infection is present

A school nurse is teaching parents about emergency treatment for epistaxis. Which best action should the nurse take to assist the parents in understanding the emergency tx

Ask the parents to demonstrate, on a mannequin, where to apply continuous pressure if a nosebleed occurs

A new parent expresses concern to the nurse regarding SIDS. she asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant

Back rather than on the stomach

A child is scheduled for a tonsillectomy in a day surgical unit. On the day after surgery, the mother calls the surgical unit and presses concern the child has a bad mouth odor. Which is most appropriate

Bad mouth odor is normal and may be relieved by drinking more liquids

A 10 year old child with asthma is treated for acute exacerbation in the ED. the nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition

Decreased wheezing

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 is not effective. Which instruction should the nurse provide to the mother

Encourage the child to lie on the right side

The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding

Frequent swallowing

The nurse is caring for a hospitalized infant with a dx of bronchiolitis. In which position should the nurse place the infant

Head and chest at a 30 degree angle with the neck slightly extended

The nurse is providing instructions to the mother of a child with croup regarding tx measures if an acute spasmodic episode occurs. Which statement made by the mother indicates a need for further teaching

I should place a steam vaporizer in my child's room

A mother calls the HCP's office requesting an app for her 8 year old child. She states that he has asthma and is telling her he had trouble breathing last night and does not want to go to school. In triaging this child, which is the most important question to initially ask the mother

Is your child telling you at this time he is having trouble breathing

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned b/c the child is frightened, constantly crying and trying to climb out of the tent. Which is the most appropriate nursing action

Let the mother hold the child and direct the cool mist over the child's face

The nurse is caring for an infant with bronchiolitis and diagnostic tests have confirmed resp syncytial virus (RSV). on the basis of this finding, which is the most appropriate nursing action

Move the infant to a private room

A mother arrives at the hospital ED with her child in whom a dx of epiglottitis is documented. Which rx, if written by the HCP should the nurse question

Obtain a throat culture

The nurse is reviewing the lab results for a child scheduled for a tonsillectomy. The nurse determines that which lab value is most significant to review

PT

Breathing exercises and postural drainage are prescribed for a hospitalized child with cystic fibrosis. What instruction should the nurse include in the client's teaching plan

Perform the postural drainage first and then the breathing exercises

The nurse has provided instructions to the mother of a child with cystic fibrosis about appropriate dietary measures. Which statement by the mother indicates an understanding of these dietary measures

The diet needs be high in calories

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action

Turn the child to the side

The nurse in the ambulatory care unit is caring for a child after a tonsillectomy. The child's mother tells the nurse that the child is complaining of a dry throat and would like something to relieve the dryness. Which item should the nurse provide for the mother to give the child

Yellow non-citrus jello

An ambulatory care nurse is preparing a list of instructions for the parents of a child who is being discharged after a tonsillectomy. The nurse should place which instructions on the list SATA a) Avoid hot fluids b) Avoid raw vegetables c) Consume pudding products d) Rest in bed or on a couch for 24 hours e) Drink cold milkshakes to soothe the throat

a, b, d

The nurse is preparing for the admission of an infant with a dx of bronchiolitis c/b RSV. which interventions should the nurse include in the plan of care SATA a) Place the infant in a private room b) Ensure that the infant's head is in a flexed position c) Wear a mask, gown and gloves when in contact with the infant d) Place the infant in a tent that delivers warm humidified air e) Position the infant on the side, with the head lower than the chest f) Ensure that nurses caring for the infant with RSV do not care for other high risk children

a, c, f

The nurse in the ED is monitoring a child diagnosed with epiglottitis. The nurse that the child is leaning forward with the chin thrust out. How should the nurse interpret this finding

an airway obstruction

the clinic nurse reads the results of a tuberculin skin test (TST) on a 3 year old child. The results indicate an area of induration measuring 10mm. The nurse should interpret these results as which finding

positive

The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which position

side-lying

After a tonsillectomy, the nurse reviews the surgeon's post op rx. Which rx should the nurse question

suction q2h

A mother arrives at the clinic with her 3 year old child. The mother tells the nurse that the child has had a fever and cough for the past two days and that this morning the child began to wheeze. Viral pneumonia is diagnosed. Based on the dx, the nurse anticipates that which will be a component of the tx plan

supportive tx