Peds Oxygenation

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding, which is the MOST APPROPRIATE nursing action? A. Initiate strict enteric precautions. B. Move the infant to a room with another child with RSV. C. Leave the infant in the present room because RSV is not contagious. D. Inform the staff that they only need to wear a mask when caring for the child.

B

A physician prescribes albuterol sulfate (Proventil) MDI for a patient with newly diagnosed asthma. When teaching the patient about this drug, the nurse should explain that it may cause: A. Nasal congestion B. Nervousness C. Lethargy D. Hyperkalemia

B Dose-related side effects include tachycardia, nervousness, nausea and vomiting, headaches

A nurse is caring for a child immediately after removal of the endotracheal tube. What assessment would the nurse report immediately to the provider? A. Stridor B. Occasional pink-tinged sputum C. A few basilar lung crackles on the right D. Respiratory rate 24 breaths/min

A Endotracheal intubation is done to protect the airway during epiglottitis. The tube is inserted between the vocal cords and after removal there can be inflammation. The nurse should be alert to signs and symptoms of airway narrowing post intubation such as stridor indicating upper airway constriction.

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? A. "The child may be allergic to antibiotics." B. "The child is too young to receive antibiotics." C. "Antibiotics are not indicated unless a bacterial infection is present." D. "The child still has the maternal antibodies from birth and does not need antibiotics.

C Antibiotics are not prescribed for viral infections

The mother of an infant diagnosed with bronchiolitis asks the nurse what causes this disease. The nurse's response would be based on the knowledge that the majority of infections that cause bronchiolitis are a result of: A. Ribavirin. B. Mycoplasma pneumoniae. C. Respiratory syncytial virus (RSV). D. Hemophilus influenzae.

C Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis.

A nurse is caring for a 17-year-old female with cystic fibrosis who has been admitted to the hospital to receive I.V. antibiotic and respiratory treatment for exacerbation of a lung infection. The adolescent has a number of questions about her future and the consequences of the disease. Which statements about the course of cystic fibrosis are true? (Select all that apply) A. Despite a voracious appetite may have failure to thrive B. The adolescent is at risk for developing diabetes C. Pregnancy and child-bearing aren't affected D. Normal sexual relationships can be expected E. Only males carry the gene for the disease. F. By age 20, the frequency of respiratory treatment should be possible to decrease

ABD

A 10 year old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? A. Warm, dry skin, pink mucous membranes, clear rhinitis B. Decreased wheezing without concurrent improvement of respiratory function C. Pulse rate of 90 beats/minute, normal sinus rhythm, capillary refill of <3 seconds D. Respirations of 18 breaths/minute, unlabored, clear breath sounds

B Some asthma episodes do not respond to repeated doses of albuterol and corticosteroids and progress to potentially life-threatening episodes. The child has increased hypoxemia, decreased expiration due to air trapping and ineffective ventilation.

An 18-month-old child is seen in the emergency department with respiratory distress and is admitted with a diagnosis of pneumonia. Following the initial workup, the baby is still short of breath but is rubbing his eyes as if he is sleepy. The mother wants to lay the baby down for his nap. The infant refuses to lie down. The nurse would suggest: A. Rocking the baby until he is asleep and then lay him down. B. The mother hold him in her arms while he sleeps. C. The mother allow the baby to sleep in an upright position. D. A sleeping pill to help the baby rest

C Position head of bed up or place the child in position of comfort on parent's lap, if crying or struggling in crib or bed. Upright position facilitates improved aeration and promotes decrease in anxiety (especially in infants) and energy expenditure. Nursing Care Plan; The child with bronchiolitis

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which is the MOST APPROPRIATE nursing action? A. Tell the mother that the child must stay in the tent. B. Place a toy in the tent to make the child feel more comfortable. C. Call the health care provider and obtain a prescription for a mild sedative. D. Let the mother hold the child and direct the cool mist over the child's face.

D

A child is brought to the emergency department with suspected epiglottitis. Which nursing intervention would be considered unsafe? A. Allowing the child to remain in the position of choice. B. Placing intubation equipment at the bedside. C. Encouraging parents to comfort the child. D. Examining the throat.

D Throat cultures and visual inspection of the inner mouth and throat are contraindicated in children with LTB and epiglottitis. These procedures can cause laryngospasms (spasmodic vibrations that close the larynx) as a result of the child's anxiety or of probing this reactive and already compromised area. A complete airway obstruction may result