Respiratory

What assessment finding in a newborn is suggestive of cystic fibrosis? a. Abdominal distention b. Rapid heart rate c. Excessive crying d. Sternal retractions

a. Abdominal distention

A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention? a. Audible wheezing b. Barrel chest c. Heart rate of 105 beats/min d. Respiratory rate of 30 breaths/min

a. Audible wheezing

An infant with bronchiolitis caused by respiratory syncytial virus (RSV) is admitted to the pediatric unit. What does the nurse expect the prescribed treatment to include? a. Humidified cool air and adequate hydration b. Postural drainage and oxygen by hood c. Bronchodilators and cough suppressants d. Corticosteroids and broad-spectrum antibiotics

a. Humidified cool air and adequate hydration

An infant is admitted to the pediatric unit with bronchiolitis caused by respiratory syncytial virus (RSV). What interventions are appropriate nursing care for the infant? Select all that apply. a. Instilling saline nose drops b. Limiting fluid intake c. Maintaining contact precautions d. Administering warm humidified oxygen e. Suctioning mucus with a bulb syringe

a. Instilling saline nose drops c. Maintaining contact precautions e. Suctioning mucus with a bulb syringe

A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) infection is made, and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care? a. Maintain standard and contact precautions. b. Place in a warm, dry environment. c. Administer prescribed antibiotic immediately. d. Allow parents and siblings to room in with the infant.

a. Maintain standard and contact precautions.

A nurse manager is providing a class on cystic fibrosis for the pediatric staff nurses. Physiologic adaptations to cystic fibrosis are a result of which problem? a. Pathology of mucus-secreting glands b. Dysfunction of sweat glands c. Inactivity of respiratory tract cilia d. Overproduction of endocrine gland activity

a. Pathology of mucus-secreting glands

Several hours after admission of a child to the pediatric unit with laryngotracheobronchitis (viral croup), the nurse determines that tachypnea and tachycardia, accompanied by intercostal and substernal retractions and increased restlessness, have developed. What is the priority nursing action? a. Reporting the respiratory status to the practitioner b. Suctioning secretions from the trachea c. Dislodging mucus by striking the back d. Increasing the concentration of oxygen being delivered

a. Reporting the respiratory status to the practitioner

Which assessment findings should the nurse expect when caring for a child with cystic fibrosis? (Select all that apply.) a. Steatorrhea b. Obesity c. Foul-smelling stools d. Delayed growth e. Pulmonary congestion

a. Steatorrhea c. Foul-smelling stools d. Delayed growth e. Pulmonary congestion

A nurse is performing a respiratory assessment of an 8-month-old child with the diagnosis of viral pneumonia. The nurse identifies bronchial breath sounds over areas of consolidation, mild substernal retractions, profuse mucus production, pallor, and a temperature of 102° F (38.9° C). What is the priority nursing action? a. Suctioning the nasopharynx so a patent airway can be maintained b. Starting an intravenous infusion to provide necessary fluids and electrolytes c. Calling the respiratory therapist to start preparations for oxygen administration d. Notifying the practitioner of the fever so a prescription for an antipyretic can be issued

a. Suctioning the nasopharynx so a patent airway can be maintained

The nurse is providing care to an infant who is diagnosed with bronchiolitis. Which breath sounds indicate the infant is experiencing respiratory distress? *Select all that apply* a. Wheezing b. Grunting c. Retractions d. Tachypnea

a. Wheezing b. Grunting