Pediatric practice questions

Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory distress? Select all that apply. 1. Coughing 2. Respiratory rate of 35 bp/m 3. Heart rate of 95 bpm 4. restlessness 5. malaise 6. diaphoresis

1,2,4,6

A 12-year-old with asthma wants to exercise. Which of the following activities should the nurse suggest to improve breathing 1. soccer 2. swimming 3. track 4. gymnastics

2.

After teaching the parents of a preschooler who has undergone a tonsillectomy and adenoidectomy about appropriate foods to give the child after discharge, which of the following, if stated by the parents as appropriate foods, indicates successful teaching? 1. meat loaf and uncooked carrots 2. pork and noodles 3. cream of chicken soup and orange sherbet 4. Hot dog and potato chips

3.

A nurse is teaching the parents of a preschooler about the possibility of postoperative hemorrhage after a tonsillectomy and adenoidectomy. The nurse should explain that the risk is the greatest at which of the following times? 1. 1 to 3 days after surgery 2. 4 to 6 days after surgery 3. 7 to 10 days after surgery 4. 11 to 14 days after surgery

3. the greatest risk for hemorrhage is this time when the tissue begins sloughing and the scab falls off

An 11 year old child is admitted for treatment of an asthma attack. Which of the following indicates immediate intervention is needed? 1. Thin, copious mucous secretion 2. Productive cough 3. Intercostal reactions 4. Respiratory rate of 20 breaths per minute

3. this is correct because it shows increase in respiratory effort (labored breathing)

After a tonsillectomy and adenoidectomy, which of the following findings should alert the nurse to suspect early hemorrhage in a 5-year old child? 1. Drooling bright red secretions 2. pulse rate of 95 bpm 3. vomiting of 25 ml of dark brown emesis 4. blood pressure of 95/56 mm Hg

1, because often times after a tonsillectomy drooling occurs because of discomfort, frequent swallowing could also be a sign

After inserting of bilateral tympanostomy tubes inserted in a toddler, which of the following instructions should the nurse include in the child's discharge plan for the parents? 1. insert ear plugs into canals when child bathes 2. Blow the nose forcibly during a cold 3. administer the prescribed antibiotics while the tubes are in place 4. disregard any drainage from the ear after 1 week

1.

When preparing the teaching plan for the mother of a child with asthma, which of the following should the nurse include as signs to alert the mother that her child is having an asthma attack? 1. Secretion of thin, copious mucus. 2. tight, productive cough 3. wheezing on expiration 4. temperature of 99.4

3.

The nurse has identified a problem of anxiety for a 4-year old preparing for a tonsillectomy. The nurse should tell the child: 1. "You wont have so many sore throats after your tonsils are removed" 2. "The doctor will put you to sleep so you don't feel anything" 3. "Show me how to give the doll an IV" 4. "When it is done you will get to see your mommy and get a popsicle"

2