N410 - CHAPTER 18 Nursing Care of the Child With an Alteration in Gas Exchange/Respiratory Disorder

_________ is used to assist with mobilization of secretions for older children and adolescents with cystic fibrosis.

flutter valve device

A bronchodilator often is given to

open up the airways just before the mast cell stabilizer is used.

What is a complication of cystic fibrosis?

pneumothorax. A rupture of the subpleural blebs through the visceral pleura takes place.

Pulmonary function tests are diagnostic tools for the child with

Asthma. And indicate the amount of obstruction in the bronchial airways, especially in the smallest airways of the lungs.

Blood test used to test for disorders including anemia, infection, and leukemia

CBC

Blood culture and sensitivity is done to determine the

Causative agent as well as the anti-infective needed to treat an infection

Test used to find problems related to electrical activity of the brain

EEG

The nurse sees a 3-year-old child in the ambulatory setting for localized wheezing on auscultation. Which sign or symptom would be most important to report to the health care provider?

Localized wheezing. In localized wheezing, only a small portion of a lung is involved, such as occurs following aspiration The aspiration of a foreign body may mimic an asthma attack, but an asthma attack would have generalized wheezing.

What test is performed to evaluate the respiratory system

PFT

What is the definitive test used for determining the diagnosis of cystic fibrosis?

Sweat sodium chloride. This test is performed by stimulating a small patch of sweat glands on the inner aspect of the forearm. There must be two positive tests and clinical symptoms to confirm the diagnosis.

Purified protein derivative tests are used to detect

TB

What equipment should be at the bedside of a child with a tracheostomy in case of emergency?

a new tracheostomy tube of the same size a new tracheostomy tube of a smaller size a bag valve mask Two spare tracheostomy tubes should always be at the bedside, one the same size as in place and one a size smaller. These would be needed if the tube became dislodged. A bag valve mask needs to remain at the bedside at all times to hyper-oxygenate the child prior to or following suctioning, or it can be used in an emergent situation such as a respiratory arrest.

The most useful diagnostic test in respiratory distress

an ABG

Which method would the nurse most likely use to give medications to treat the pancreatic involvement seen in cystic fibrosis? a) nebulizer b) pour into medication cup and give to child to drink c) subcutaneous injection d) open capsule poured over pudding or applesauce

d. capsule poured over pudding or applesauce

The child with ________ is very anxious and prefers to breathe by sitting forward with the neck extended.

epiglottitis

Children who are considered high risk and could benefit from the influenza vaccine are:

immunocompromised have a chronic pulmonary disease have had a congenital abnormality chronic renal or metabolic disease sickle-cell disease HIV any type of neurological disorder (seizures)

Leukotriene inhibitors are given by mouth along with other asthma medications for long-term control and prevention of

mild, persistent asthma.

Most of the problems and complications associated with CF relate to the ______________system, the ____________ system and infectious disorders.

respiratory, gastrointestinal

Corticosteroids are anti-inflammatory drugs used to control

severe or chronic cases of asthma.

Mast cell stabilizers are used to help decrease

wheezing and exercise-induced asthma attacks