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A child is hospitalized with pneumonia. The nurse assesses an increase in the work of breathing and in the respiratory rate. What intervention should the nurse do first to help this child? 1-elevate the head of bed 2-administer oxygen 3-notify the healthcare provider 4-obtain oxygen saturation level

1-elevate the head of bed

The nurse is assessing a patient for the adequacy of ventilation. What assessment findings would indicate the patient has good ventilation? (Select all that apply.) 1-Respiratory rate of 24/min 2-Oxygen saturation of 98% 3-The right side of the thorax expands slightly more than the left. 4-Trachea is just to the left of the sternal notch. 5-Nail beds are pink with good capillary refill 6-There is presence of quiet, effortless breath sounds at lung base bilaterally.

2-Oxygen saturation of 98% 5-Nail beds are pink with good capillary refill 6-There is presence of quiet, effortless breath sounds at lung base bilaterally.

A child is in the emergency department with an asthma exacerbation. Upon auscultation, the nurse is unable to hear air movement in the lungs. What action should the nurse take first? 1-administer oxygen 2-administer a beta-2 adrenergic agonist 3-start peripheral IV 4-administer corticosteroids

2-administer a beta-2 adrenergic agonist

The nurse has assessed four clients. Which assessment finding warrants immediate action? 1- 3 month-old with enlarged tonsillar and adenoidal tissue 2- 10-year-old child with extreme sinus pressure and headache 3- 1-week old newborn with nasal congestion 4- 6-year-old child who is consistently mouth breathing

3- 1-week old newborn with nasal congestion

The caregivers of a child report that their child had a cold and complained of a sore throat. When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open, drooling and the tongue out. The nurse recognizes these symptoms as those seen with which disorder? 1-Spasmodic laryngitis 2-Bronchitis 3-Epiglottitis 4-Tonsillitis

3-Epiglottitis


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