NURS 405 PrepU for week 1
Which acute respiratory condition is the most common in early childhood?
croup
The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing. The nurse will most likely include which teaching point if the child is suspected of having asthma?
"I'm going to have this hospital worker take a picture of your lungs."
The nurse is providing education to a client newly diagnosed with asthma. Which statement by the parents indicates additional teaching is needed?
"It is okay for our child to do chores such as sweeping the floor."
The pediatric unit has multiple clients experiencing upper respiratory system complications. Which pediatric client is at the highest risk for respiratory distress?
2-year-old child with epiglottitis
The nurse working at the child community clinic must administer the influenza vaccine to the high-risk children first. Which child would she choose first?
23-month-old client who had heart surgery as an infant for a defect
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)
The nurse is teaching the caregivers of a child with cystic fibrosis. What is most important for the nurse to teach this family?
Encourage everyone in the family to use good handwashing techniques.
The nurse is administering 2 puffs of an albuterol sulfate inhaler to a 4-year-old. Which side effect would the nurse instruct the parent to most likely expect?
Increased heart rate and restlessness
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 most affected by this disease?
Pancreas and liver
The caregivers of a child who was diagnosed with cystic fibrosis 5 months ago report that they have been following all of the suggested guidelines for nutrition, fluid intake, and exercise, but the child has been having bouts of constipation and diarrhea. The nurse tells the caregiver to increase the amount of which substance in the child's diet?
Pancreatic enzymes
The nurse is caring for a child who has been admitted with a diagnosis of asthma. What laboratory/diagnostic tool would likely have been used for this child?
Pulmonary functions test
A worried mother calls the nurse and tells her that her son has developed a horrible croup cough and is having trouble breathing. What would be the best intervention for the nurse to recommend to the mother?
Run a hot shower to fill the bathroom with steam and have the boy stay there.
A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Sit the child upright and apply pressure to the sides of the nose
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?
Sweat sodium chloride test
The nurse sees a 3-year-old child in the ambulatory setting for localized wheezing on auscultation. Which statement by the parent would be most important to report to the health care provider?
The child was eating peanuts yesterday.
The nurse is admitting a child who is experiencing an asthma attack. Which clinical manifestation would likely be noted in this child?
Wheezing
The nurse identifies a nursing diagnosis of Ineffective airway clearance related to inflammation and copious thick secretions. What action is the priority?
suctioning secretions from the airway
How is wheezing in children best heard?
as the child exhales
The nurse is preparing to administer albuterol to a 14-year-old client for the first time. Prior to administration, which adverse reaction is priority for the nurse to educate the client?
tachycardia
The nurse has assessed four clients. Which assessment finding warrants immediate action?
1-week old newborn with nasal congestion