Respiratory

A physician diagnoses a school-aged child with strep throat and pharyngitis. The child's parent asks the nurse what treatment the child will need. Which is the nurse's best response? Your child will be sent home on bedrest and should recover in a few days without any intervention Your child will need to have the tonsils removed to prevent future strep infections Your child will need oral penicillin for 10 days and should feel better in a few days Your child will need to be admitted to the hospital for 5 days intravenous antibiotics

Children with strep throat need a 10-day course of antibiotics to clear up the infection. The nurse must reiterate that the child will feel better in a few days but the entire course of antibiotics must be completed.

A 2-year-old has just been diagnosed with CF. The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response? You can expect your child to develop a barrel-shaped chest You can expect your child to develop a chronic productive cough You can expect your child to develop bronchiectasis You can expect your child to develop wheezing respiration.

The child will develop wheezing respiration due to the CF. This is a common early sign.

A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which tests should the nurse expect? SELECT ALL THAT APPLY Select one or more: a. sweat chloride test b. stool for fat c. chest radiograph films d. biopsy of intestinal mucosa e. bronchoscopy

a. sweat chloride test Correct b. stool for fat Correct c. chest radiograph films Correct

The parents of a 5-week-old have just been told that their child has cystic fibrosis (CF). The mother had a sister who died of CF when she was 19 years of age. The parents are sad and ask the nurse about the current projected life expectancy. What is the nurse's best response? "The life expectancy for CF patients has improved significantly in recent years." "Your child might not follow the same course that the mother's sister did." "The physician will come to speak to you about treatment options." "The nurse answers their questions briefly, listens to their concerns, and is available later after they've processed the information.

The best intervention is to allow the parents to express their concerns and to help clarify any misconceptions or misunderstandings. On initial diagnosis many parents cannot comprehend immediately all of the implications and care processes.

The nurse is teaching nursing students about normal physiologic differences and changes in the respiratory system from infancy to older childhood. Which statements made by the nurse would be accurate? SELECT ALL THAT APPLY Select one or more: a. The amount of lymphoid tissue increases. b. Repeated exposure to organisms causes increased immunity. c. Airway size plays an important factor in controlling secretions. d. Normal oxygen saturations are less than adults due to airway size.

a. The amount of lymphoid tissue increases. Correct b. Repeated exposure to organisms causes increased immunity. Correct c. Airway size plays an important factor in controlling secretions. Correct

A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma? Select one: a. There is heightened airway reactivity. b. There is decreased resistance in the airway. c. The single cause of asthma is an allergic hypersensitivity. d. It is inherited.

a. There is heightened airway reactivity. Correct

The nurse is monitoring a child with croup and racemic epinephrine has recently been administered. What side effect of this medication should the nurse anticipate? Select one: a. increased heart rate b. lethargy c. decreased appetite d. bronchial spasms immediately after administration

a. increased heart rate Correct

The parent of an 18-year-old with CF is excited about the possibility of the child receiving a double lung transplant. What should the parent understand? The transplant will cure the child of CF and allow the child to lead a long and healthy life. The transplant will not cure the child of CF but will allow the child to have a longer life The transplant will help to reverse multi-system damage that has already been caused by CF The transplant will be the child's only chance at surviving long enough to graduate college.

A lung transplant will not cure CF but can allow the patient an opportunity to live longer. There is a risk of rejection or the development of a secondary infection.

The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours. Which action should the nurse include in the child's postoperative care plan? SELECT ALL THAT APPLY Select one or more: a. Notify the surgeon if the child swallows frequently. b. Apply a heat collar to the child for pain relief. c. Allow the child to have diluted juice after the procedure. d. Encourage the child to cough frequently. e. Educate parents on ordered analgesics.

a. Notify the surgeon if the child swallows frequently. Correct c. Allow the child to have diluted juice after the procedure. Correct d. Encourage the child to cough frequently. e. Educate parents on ordered analgesics. Correct

The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a tongue depressor might precipitate which symptom or condition? Select one: a. inspiratory stridor b. complete obstruction c. sore throat d. respiratory tract infection

b. complete obstruction Correct

β-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action? Select one: a. liquefy secretions b. dilate the bronchioles c. reduce inflammation of the lungs d. reduce infection

b. dilate the bronchioles Correct

The nurse is caring for a female pediatric client with CF sends a stool for analysis. The results show an excessive amount of azotorrhea and steatorrhea. What does the nurse realize about the lab values? They reflect that the patient is not compliant with taking vitamins. They reflect that the patient is not compliant with taking her enzymes. They reflect that the patient is eating too many foods high in fat. They reflect the patient is eating too many foods high in fiber.

CF patients must take their digestive enzymes before during and sometimes after meals. Often times teens are non compliant.

A 7-month-old is taken to the pediatrician's office with a low-grade fever, nasal congestion, and a mild cough. Which should the nursing care management of this child include? Maintain strict bed-rest Avoid contract with family members Instilling saline nose drops and bulb suctioning Keeping the head of the bed flat

An infant is usually a nose breather for the first 4-7 months of their lives. Therefore when congestion blocks the nose passages they feel worse. The nurse should put in some saline nose drops and suction if they can see anything.

Which of the following statements about the inheritance of CF is most accurate? CF is an autosomal-dominant trait that is passed on from child's mother CF is an autosomal-dominant trait that is passed on from the child's father The child's parents who are both carriers for the gene for CF has a 50% chance of acquiring CF The child of a mother who has CF and a father who is a carrier of the gene for CF has a 50% chance of acquiring CF.

If a child is born to a mother who has CF and a father who is a carrier the child has a 50% chance of acquiring CF. It is not an autosomal dominiant trait.

The nurse has begun Cardiopulmonary resuscitation (CPR) on a toddler. Which pulse is usually palpated because it is the most central and accessible? Select one: a. radial b. carotid c. femoral d. brachial

b. carotid Correct

The parent of a 10-month-old with CF asks the nurse to meet the child's increased nutritional needs. Which is the nurse's best suggestion? You may need to increase the number of fresh fruits and vegetables you give your child each day You may need to advance your child's diet to whole cow's milk because it is higher in fat than formula You may need to change your child to a higher-calorie formula You may need to increase your child's carbohydrate intake each day.

An infant with CF will need to have a formula that is higher in calories to meet their nutritional needs. Answers 1,2,4 can be eliminated because of nutritional needs.

A female child with CF is hospitalized with constipation. The parents ask the nurse what will need to be done to relieve the child's constipation. Which is the nurse's best response? Your child likely has an obstruction and will require surgery Your child will likely be given IV fluids to relieve her constipation Your child will likely be given GoLYTELY to relieve her constipation Your child will be placed on a clear liquid diet to relieve her constipation

CF patients with constipation often take a stool softener like GoLytely to relieve their constipation.

The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response? "Thirty minutes before feeding the child breakfast." "After deep-suctioning the child each morning." "Thirty minutes after feeding the child breakfast." "Only when the child has congestion or coughing."

CPT should be done in the morning prior to feeding to avoid the risk of the child vomiting. Hint is to look at the word Only in last choice to eliminate, and 3 is eliminated because of percussion after feeding leads to risk of aspiration and vomiting.

A school-aged child has been diagnosed with nasopharyngitis. The parent is concerned because the child has had little or no appetite for the last 24 hours. The parent asks the nurse if this is a concern. Which is the best nurse response? Do not be concerned; it is common for children to have a deceased appetite for several days during a respiratory illness Be sure your child is taking an adequate amount of fluid. The appetite should return soon. Try offering the child some favorite foods. Maybe that will improve appetite Your need to force your child to eat whatever you can; adequate nutrition is essential.

When children have respiratory illness they often have a decreased appetite. The parent just has to be mindful of the amount of fluids the child is taking in because they are at risk for dehydration.