the child with a respiratory disorder
A community health nurse is conducting a parenting class on respiratory syncytial virus (RSV). What statement made by a parent indicates that the teaching has been successful?
"Exposure to second- or thirdhand smoke increases the risk for developing RSV."
A child with asthma has been monitoring his peak expiratory flow rate (PEFR) and has been maintaining it within 90% of his personal best. Today, the child is experiencing symptoms and his PEFR is at 40% of his personal best. The child's mother calls the office and asks the nurse what she should do. What would the nurse instruct the mother to do first?
"Have him use his short-acting bronchodilator right away."
An 8-year-old girl presents with drooling and a complaint of painful swallowing. She has a high fever and is lethargic. On examination the nurse sees that her palatine tonsils are bright red and swollen. The girl's mother says that she has never had these symptoms before. A throat culture indicates a streptococcus infection. What is the course of treatment that the nurse would expect in this situation?
Antipyretic, analgesic, and antibiotic
A 3-year-old child with asthma and a respiratory tract infection is prescribed an antibiotic and a bronchodilator. The nurse notes the following during assessment: oral temperature 100.2°F (37.9°C), respirations 52 breaths/minute, heart rate 90 beats/minute, O2 saturation 95% on room air. Which action will the nurse take first?
Administer the bronchodilator via a nebulizer.
Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis?
Assisting with racemic epinephrine nebulizer therapy
Which nursing suggestion is the most helpful when discussing frequent allergic rhinitis (hay fever) attacks with a 12-year-old client and parent?
Consider identification of allergen and hyposensitization.
The nurse is caring for a 6-week-old with symptoms of irritability, nasal stuffiness, difficulty drinking and occasional vomiting. Which assessment finding produces important information regarding the medical and nursing treatment plan?
Obtain testing for respiratory syncytial virus.
Which nursing diagnosis would best apply to a child with allergic rhinitis?
Pain related to sinus edema and headache
The nurse is examining a 5-year-old. Which sign or symptom is a reliable first indication of respiratory illness in children?
Rapid, shallow breathing
When caring for children with respiratory issues in relationship to the anatomy and physiology of the child's respiratory system, it is important to recognize which of the following?
The diameter of the child's trachea is about the size of the child's little finger.
A nurse is caring for an infant admitted with a diagnosis of bronchiolitis. After completing an assessment, the nurse creates a plan of care for the infant. Which client goal would be priority in the plan of care?
The infant's airway will remain clear and free of mucus.
The nurse is concerned that a school-age child is developing pneumonia. What did the nurse most likely assess in this client?
rales elevated temperature productive, harsh cough
A 6-year-old child has been diagnosed with tonsillitis. What topic should the nurse include in health education to the family?
the importance of completing the full course of antibiotics
The 18-month-old client has had recurrent respiratory infections. The mother expresses concern that this child is having more complications from respiratory infections than her older children had. The nurse's best response would be:
"Air passages are small in toddlers, and when inflamed they become smaller because of edema and are occluded with mucus."
Which family member would be restricted from the room of an infant receiving ribavirin?
any pregnant female
After teaching a class about cystic fibrosis, the nursing instructor determines that the teaching was successful when the students identify the condition as which type of genetic condition?
autosomal recessive
