Child Health - Throat/Respiratory
The nurse is monitoring a student who is preparing to suction a child through a tracheostomy. The nurse determines the student needs additional teaching if the student plans to do which intervention?
Apply suctioning when inserting the catheter
A child with croup is admitted to the hospital, and the health care provider prescribes a cool-mist tent. The child is fearful and crying. Which nursing intervention is appropriate?
Ask the mother to bring the child's favorite toy from home
An infant crawling on the floor of the playroom suddenly begins to cough and make loud, high-pitched, wheezing sounds when breathing. The nurse immediately considers which area to investigate?
Aspiration resulting from ingestion of a foreign object
A 12-month-old child has just returned from the recovery room after a palatoplasty. The nurse performs an assessment and determines that which finding requires further intervention and indicates a need for follow-up?
Clove hitch restraints are secured to the arms
The nurse is assessing the vital signs of a 3-year-old child hospitalized with a diagnosis of croup and notes that the respiratory rate is 28 breaths per minute. Based on this finding, which nursing action is appropriate?
Document the findings
The nurse is assessing the vital signs of a 3-year-old child hospitalized with a diagnosis of croup. The nurse notes that the respiratory rate is 30 breaths per minute. Which nursing action is appropriate?
Document the findings.
After tonsillectomy, which fluid or food item is most appropriate to offer to the child?
Green Jell-o
The registered nurse is discussing care of a child with acute laryngotracheobronchitis (LTB) with a nursing student. The registered nurse determines that the nursing student needs further teaching regarding this disorder if the student states that which finding is a clinical characteristic of LTB?
Has a sudden onset and usually occurs during the day
The nurse is collecting data on a child suspected of having rheumatic fever. The nurse plans to obtain specific data regarding recent illnesses in the child and asks the parent which question?
Has the child had a recent streptococcal infection of the throat?
The mother of a child calls the health care clinic and tells the nurse that the child has developed a bloody nose. Which action should the nurse instruct the mother to do?
Have the child sit with the head tilted forward and hold pressure on the soft part of the nose for a period of 10 minutes.
A home care nurse is instructing a mother of a child diagnosed with cystic fibrosis (CF) about the appropriate dietary measures. Which diet should the nurse tell the mother that the child needs to consume?
High calorie, high protein diet
The nurse provides instructions to a mother regarding the care of her 10-year-old child who has pharyngitis. Which statement by the mother indicates a need for further instructions?
I need to return to the clinic tomorrow for a repeated throat culture
The nurse provides instructions to the mother of a child with acute nasal pharyngitis regarding the administration of decongestant nose drops. Which statement by the mother indicates an understanding of the use of the drops?
I should administer the nose drops 15 minutes before feeding my child
The clinic nurse provides home care instructions to a mother regarding the care of her child who is diagnosed with croup. Which statement by the mother indicates the need for further instructions?
I will give cough syrup every night at bedtime
The nurse provides instructions to a mother regarding the care of her child, who is diagnosed with croup. Which statement by the mother indicates a need for further instructions?
I will give my child cough syrup every night at bedtime so that she will sleep well.
The nurse is providing discharge instructions to the mother of an 8-year-old child who had a tonsillectomy. The mother tells the nurse that the child loves tacos and asks when the child can safely eat one. To prevent complications of the surgical procedure, what should be the appropriate response to the mother?
In 3 weeks
The nurse is preparing to care for an infant diagnosed with pertussis. Which priority problem should the nurse address when planning care?
Inability to expectorate secretions
A child is admitted to the hospital with a suspected diagnosis of pneumococcal pneumonia. What should the nurse prepare to implement?
Monitor the child's respiratory rate and breath sounds
The nurse is caring for a child hospitalized with laryngotracheal bronchitis (LTB). Which sign/symptom, if noted in the child, indicates respiratory distress?
Nasal flaring
The nurse is caring for an infant with laryngomalacia (congenital laryngeal stridor). In which position should the nurse place the infant to decrease the incidence of stridor?
Prone with the neck hyperextended
The new nurse is caring for a child with cystic fibrosis (CF). The registered nurse asks the new nurse to identify some nonpulmonary manifestations of the disease. Which statement by the new nurse indicates an understanding of these manifestations?
The child may have steatorrhea and abdominal distention
The nurse has provided information to the parents of an infant with respiratory syncytial virus (RSV) who is receiving ribavirin (Virazole) about the management of the disease process. Which observation indicates the need for additional information?
The infant's pregnant aunt visits while the infant is receiving ribavirin
Which activity by the family of an infant with severe respiratory syncytial virus (RSV) who is receiving ribavirin (Virazole) would indicate that there is a need for further teaching about the management of the disease process?
The infant's pregnant aunt visits while the infant is receiving ribavirin (Virazole).
The home care nurse is providing instructions to a child with cystic fibrosis about how to perform the "huff" maneuver and the child asks the nurse about the purpose of this type of breathing. Which response should the nurse make to the child?
This type of breathing is used to move secretions so that they can be easily coughed out.
The nurse is assessing a child admitted to the hospital with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child's mother during the assessment?
Has any family member had a sore throat within the past few weeks?
The nurse is caring for a child with a suspected diagnosis of acute laryngotracheobronchitis (LTB). The nurse reviews the assessment data in the child's record, knowing that which findings are characteristic of this disorder? Select all that apply.
1. Associated with inspiratory stridor 2. Causes swelling and inflammation of the vocal cords 3. Has a gradual onset that usually worsens during the night.
A charge nurse reviews the postoperative plan of care formulated for a child after a tonsillectomy. Which interventions are appropriate for this client? Select all that apply.
1. Offer clear, cool liquids when awake 2. Administer pain medication as prescribed 3. Monitor for bleeding from the surgical site 4. Initially eliminate milk or milk products from the diet.
The nurse is caring for a child after tonsillectomy. Which positions should the nurse plan to place the child in? Select all that apply.
1. Prone 2. Left side lying 3. Right side lying
The nurse is performing an assessment on a child admitted to the hospital with a diagnosis of rheumatic fever. The nurse asks the mother which initial question when gathering data about the disorder?
Has any family member had a sore throat or fever within the past few weeks?
The nurse is caring for a child admitted to the hospital with a diagnosis of viral pneumonia. The nurse describes the treatment plan to the parents and determines the need for further teaching if the parents indicate that which is part of the treatment?
Antibiotics
The registered nurse is developing a plan of care with a nursing student for a child returning from the operating room after a tonsillectomy. The registered nurse determines the nursing student needs further teaching if the student suggests placing which inappropriate nursing intervention in the plan of care?
Suction every 4 hours
The registered nurse is discussing care of a child with viral pneumonia with a nursing student. The registered nurse determines that the nursing student needs further teaching when the student states that which intervention is a component of the therapeutic management for this disorder?
Antibiotics
The nurse is caring for a child after a tonsillectomy and notes that increased fluid intake is prescribed. Which fluid is appropriate for the nurse to offer to the child?
Apple juice
The nurse is giving instructions to an 8-year-old child regarding measures to take to identify the early signs of an asthma episode. What instruction would be important for the nurse to give the child?
Use a peak flowmeter to measure for a drop in the expiratory flow rate
The nurse is providing instructions to the mother of a child with a diagnosis of exercise-induced asthma (EIA). What is the best sport or activity for the nurse recommend to the mother and child?
Indoor swimming
A mother of a 6-year-old child arrives at the emergency department stating that the child has been complaining of a sore throat. The child has a high fever, and acute epiglottitis is diagnosed. The emergency department nurse plans care knowing that what is a clinical manifestation associated with this disorder?
It causes swelling and inflammation of the epiglottis
A child is being admitted to the hospital with the tentative diagnosis of pertussis (whooping cough). As the child is being admitted to the nursing unit what should the nurse plan to do first?
Place the child on a pulse ox and a cardiorespiratory monitor
A child with a diagnosis of pertussis (whooping cough) is being admitted to the pediatric unit. As soon as the child arrives on the unit, which action should the nurse take first?
Attach the child to a pulse oximeter
The nurse performs an assessment of a child with pertussis (whooping cough). Which finding should the nurse identify as indicative of a potential complication?
Decreased breath sounds in the lung bases
