Chapter 40 Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder

The nurse is assessing a 7-year-old boy with pharyngitis. The nurse would least likely expect to assess which of the following?

Working hard to breathe

A parent asks the nurse about immunizing her 7-month-old daughter against the flu. Which response by the nurse would be most appropriate?

"Since your daughter is older than 6 months, she should get the vaccine every year."

A group of nursing students are reviewing the medications used to treat asthma. The students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm?

Albuterol

A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. Which of the following would the nurse do first?

Clamp the chest tube

When performing the physical examination of a child with c, which of the following would the nurse expect to assess?

Decreased tactile fremitus

A nurse is administering 100% oxygen to a child with a pneumothorax based on the understanding that this treatment is used primarily for which reason?

Hasten air reabsorption

The nurse hears wheezing when auscultating a 4-year-old. Which of the following conditions would the nurse most likely rule out based on the assessment findings?

Influenza

A child is brought to the emergency department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that the child is experiencing croup. Which of the following would the nurse have most likely assessed?

Inspiratory stridor

The nurse is caring for a 3-year-old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which of the following?

Suctioning a tracheostomy tube

Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized?

Tachypnea with retractions

The nurse is providing care to several children who have been brought to the clinic by the parents for complaints of cold-like symptoms. The nurse would most likely suspect sinusitis in which child?

A 7-year-old with halitosis and thick, yellow nasal discharge

A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which of the following?

Children develop hypoxemia more rapidly than adults do.

A rapid strep test has confirmed that a 5-year-old girl has a group A Streptococcus infection. When teaching the parents about measures to implement, which of the following would be the least immediate concern?

Discarding the child's toothbrush

A nurse is preparing a teaching plan for the family of a child with allergic rhinitis. When describing the immune reaction that occurs, the nurse would identify the role of which immunoglobulin?

IgE

The nurse is educating the parents of a 7-year-old boy with asthma about the medications that have been prescribed. Which of the following drugs would the nurse identify as an adjunct to a b2-adrenergic agonist for treatment of bronchospasm?

Ipratropium

A nurse is preparing a teaching program for a parenting group about preventing foreign body aspiration. Which of the following would the nurse include?

If an object fits through a standard toilet paper roll, the child can aspirate it.

A nursing instructor is preparing a class on chronic lung disease. Which of the following would the instructor include when describing this disorder?

It is seen most commonly in premature infants.

The nurse is preparing to perform a physical examination of a child with asthma. Which of the following techniques would the nurse be least likely to perform?

Palpation

A nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which of the following would the nurse instruct the parents to administer orally?

Pancreatic enzymes

The nurse is preparing to provide tracheostomy care to an infant. After gathering the necessary equipment, which of the following would the nurse do next?

Position the infant supine with a towel roll under the neck

The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which of the following as most helpful in determining the extent of the child's hypoxia?

Pulse oximetry

The nurse is examining a 5-year-old boy. Which of the following signs or symptoms is a reliable first indication of respiratory illness in children?

Rapid, shallow breathing

A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery device would the nurse most likely expect to be used?

Simple mask

The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, which of the following would be least appropriate for the nurse to perform?

Visualizing the throat