4700 Peds
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? 1-tachycardia 2-hypoactivity 3-bronchial muscle relaxation 4-increased appetite
1-tachycardia
Which of the following in the child's history puts them at increased risk for asthma-related death? 1-no history of psychosocial or psychiatric disease 2-current use of corticosteroids 3-a child who has never been hospitalized 4-compliance with an asthma treatment plan
2-current use of corticosteroids
The nurse is caring for a 15-year-old boy with cystic fibrosis. Which intervention will help avert risky behavior? 1- assessing for signs of depression 2-monitoring compliance with treatment 3-urging that he join a support group 4-encouraging participation in activities
2-monitoring compliance with treatment
The nurse makes the statement that if an older child inhales a foreign body, the inhaled object is more likely to be drawn into the right bronchus rather than the left. What is the basis for this statement? a- The right bronchus is shorter and wider than the left. b- The left bronchus is more vertical than the right. c- Both bronchi are the same size, but the left is more vertical than the right. d- The left bronchus is shorter and wider than the right.
a- The right bronchus is shorter and wider than the left.
The caregivers of a child report that their child had a cold and complained of a sore throat. When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse recognizes these symptoms as those seen with which disorder? a- epiglottitis b- tonsillitis c- Laryngotracheobronchiti d- Spasmodic laryngitis
a- epiglottitis
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? a-Purified protein derivative test b-Sweat sodium chloride test c-Blood culture and sensitivity d-Pulmonary functions test
b-Sweat sodium chloride test
The nurse is teaching the caregivers of a child with cystic fibrosis. What is most important for the nurse to teach this family? a- Be sure the child exercises daily. b- Watch out for signs that family members are overly stressed. c- Encourage everyone in the family to use good handwashing techniques. d- Avoid overprotecting the child.
c- Encourage everyone in the family to use good handwashing techniques.
The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be: a- high sodium chloride concentration in the sweat. b- impaired digestive activity. c- decreased respiratory capacity. d- chronic lack of oxygen.
d- chronic lack of oxygen.
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?
increase heart rate and restlessness
