Peds Resp

The nurse is caring for a 10-year-old girl with cystic fibrosis who receives pancreatic enzymes. Which comment by a parent demonstrates understanding of the instructions regarding the medication? "I should give the enzymes before each meal or snack." "I should stop the enzymes if my child is taking antibiotics." "I should reduce the dose if she has large, malodorous stools." "Between meals is the best time to give the enzymes."

"I should give the enzymes before each meal or snack."

An 8-year-old girl presents with drooling and a complaint of painful swallowing. She has a high fever and is lethargic. On examination the nurse sees that her palatine tonsils are bright red and swollen. The girl's mother says that she has never had these symptoms before. A throat culture indicates a streptococcus infection. What is the course of treatment that the nurse would expect in this situation? Antipyretic, analgesic, and antibiotic Antipyretic and analgesic Tonsillectomy Adenoidectomy

Antipyretic, analgesic, and antibiotic These symptoms are consistent with bacterial tonsillitis. Therapy for bacterial tonsillitis includes an antipyretic for fever, an analgesic for pain, and a full 7- to 10-day course of an antibiotic such as penicillin or amoxicillin

A hospitalized toddler being treated for pneumonia requires supplemental oxygen. The respiratory rate is 44 breaths/min and the oxygen saturation is 90% on room air. Which oxygen delivery device would be best for this toddler? nasal cannula simple face mask nonrebreather partial rebreather

NC The best form of oxygen delivery for this toddler is a nasal cannula.

The nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis. Which laboratory/diagnostic tools would most likely be used to help determine the diagnosis of this child? Purified protein derivative test Sweat sodium chloride test Blood culture and sensitivity Pulmonary functions test

Sweat sodium chloride test

A group of nursing students are reviewing information about variations in the anatomy of a child's respiratory tract structures in comparison to adults. The students demonstrate an understanding of the information when they describe the shape of the larynx in infants as: funnel. cylindrical. oval. spherical.

funnel

The child with tonsillitis may have a fever of 101°F (38.4°C) or higher, a sore throat, often with dysphagia (difficulty swallowing), hypertrophied tonsils, and erythema of the pharynx. The child with spasmodic laryngitis has a bark-like cough, hoarseness, and an inability to make audible voice sounds.

T

An 8-year-old client is suffering from allergic rhinitis (hay fever). Which statement will the nurse include when providing education to the client's caregiver? "Pollen is a cause of these symptoms. Allergy medicine may help your child." "Penicillin is the treatment of choice. Be sure your child takes the entire prescribed amount." "Your child needs to avoid peanuts until further testing is completed." "When bathing, your child needs to use a mild soap, free of dye and fragrance."

"Pollen is a cause of these symptoms. Allergy medicine may help your child."

The pediatric unit has multiple clients experiencing upper respiratory system complications. Which pediatric client is at the highest risk for respiratory distress? 3-year-old child with croup 11-month-old infant with nasopharyngitis 2-year-old child with epiglottitis 16-year-old adolescent with asthma

2-year-old child with epiglottitis

The nurse is caring for a 5-year-old client and notes respiratory rate of 45 breaths per minute, blood pressure 100/70 mm Hg, heart rate 115, temperature 101°F (38.3°C), and oxygen saturation 86%. Which diagnostic test is priority for the nurse to complete? Arterial blood gas (ABG) Complete blood count (CBC) Electroencephalogram (EEG) Pulmonary function test

ABG

What measure at home could help a child with an upper respiratory infection breathe more easily? Increasing room humidity Limiting fluid intake Enforcing strict bed rest Playing "rapid breathing" games

Increasing room humidity

Which nursing diagnosis would best apply to a child with allergic rhinitis? Pain related to sinus edema and headache Ineffective tissue perfusion related to frequent nosebleeds Disturbed self-esteem related to inherited tendency for illness Risk for infection related to blocked eustachian tubes

Pain related to sinus edema and headache

A group of nurses is reviewing the diagnosis of cystic fibrosis. With regard to the effect of this disease on the body, which parts of the body (besides the lungs) are mostaffected by this disease? Brain and spinal cord Pancreas and liver Heart and blood vessels Kidney and bladder

Pancreas and liver

The nurse is caring for a 7-year-old boy who has just had a tonsillectomy. Which intervention is least appropriate for this child? Providing fluids by straw Applying an ice collar Placing the child on his side Discouraging the child from coughing

Providing fluids by straw Providing fluids by straw may cause trauma to the surgical site and should be avoided

A 2-year-old toddler is seen for acute laryngotracheobronchitis. What observation would lead the nurse to suspect airway occlusion? The toddler states being tired and wanting to sleep. The respiratory rate is gradually increasing. The cough is becoming harsher. The nasal discharge is increasing.

The respiratory rate is gradually increasing.

During an assessment, a child exhibits an audible high-pitched inspiratory noise, a tripod stance and intercostal retractions. Using SBAR communication, the nurse notifies the health care provider and states which breath sounds that are congruent with the clinical presentation of the child? Respiratory stridor Wheezing in the bases Rales in the middle lobe Rhonchi throughout the lung

Respiratory stridor

The nurse at a camp for children with asthma is teaching these children about the medications they are taking and how to properly take them. The nurse recognizes that many medications used on a daily basis for the treatment of asthma are given by which method? Directly into the vein Through a gastrostomy tube Using a nebulizer Sprinkled onto the food

Using a nebulizer