Chapter 40 Ricci
A toddler has moderate respiratory distress, is mildly cyanotic, and has increased work of breathing, with a respiratory rate of 40. What is the priority nursing intervention? *A.* Airway maintenance and 100% oxygen by mask *B.* 100% oxygen and pulse oximetry monitoring *C.* Airway maintenance and continued reassessment *D.* 100% oxygen and provision of comfort
*A.* Airway maintenance and 100% oxygen by mask
Which of these factors contributes to infants' and children's increased risk for upper airway obstruction as compared with adults? *A.* Underdeveloped cricoid cartilage and narrow nasal passages. *B.* Small tonsils and narrow nasal passages. *C.* Cylinder-shaped larynx and underdeveloped sinuses. *D.* Underdeveloped cricoid cartilage and smaller tongue.
*A.* Underdeveloped cricoid cartilage and narrow nasal passages.
A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention? *A.* Attempt to calm the infant by placing him in his mother's lap and offering him a bottle. *B.* Alert the physician or nurse practitioner to the situation and ask for an order for a stat chest radiograph. *C.* Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure. *D.* Bring the emergency equipment to the room and begin bag-valve-mask ventilation.
*C.* Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
The nurse is caring for a child with cystic fibrosis who receives pancreatic enzymes. Which statement by the child's mother indicates an understanding of how to administer the supplemental enzymes? *A.* I will stop the enzymes if my child is receiving antibiotics. *B.* I will decrease the dose by half if my child is having frequent, bulky stools. *C.* Between meals is the best time for me to give the enzymes. *D.* The enzymes should be given at the beginning of each meal and snack.
*D.* The enzymes should be given at the beginning of each meal and snack.
Which is the most appropriate treatment for epistaxis? *A.* With the child lying down and breathing through the mouth, apply pressure to the bridge of the nose. *B.* With the child lying down and breathing through the mouth, pinch the lower third of the nose closed. *C.* With the child sitting up and leaning forward, apply pressure to the bridge of the nose. *D.* With the child sitting up and leaning forward, pinch the lower third of the nose closed.
*D.* With the child sitting up and leaning forward, pinch the lower third of the nose closed.
