Respiratory - The Point Questions

A caregiver whose family is homeless

The nurse is doing an in-service training with nurses working with families who may be in situations that create high-risk health situations for their children. The nurse explains that children of caregivers with which of the following situations should be tested annually for tuberculosis?

Frightened appearance Sitting with neck extended Drooling Difficulty speaking

A 5-year-old child is brought to the clinic by his father because the child developed a high fever over the past 2 to 3 hours. The nurse suspects epiglottitis based on which signs and symptoms? Select all that apply.

Increased PCO2, Decreased PO2, Low pH in the blood

A child with a suspected airway obstruction is undergoing arterial blood gas analysis. Which clinical finding would suggest an airway obstruction? (Select all that apply.)

Chest physiotherapy. Suctioning.

A child with bronchopulmonary dysplasia is being discharged. The nurse includes teaching about ways to manage the child's airway secretions. Which of the following would the nurse most likely include? Select all that apply.

Central cyanosis

A nurse is performing a physical assessment on a child who is having an asthma attack. Which would the nurse most likely observe?

Newborn

After teaching a group of nursing students about the developmental variations in a child's respiratory system, the instructor determines that the teaching was successful when the students identify children at which developmental growth stage having a trachea that is 4 cm in length?

Obtain and put an endotracheal tray at the bedside. Obtain a medical and immunization history. Assess vital signs and breath sounds.

The 2-year-old child is seen in the emergency department (ED) with a sore throat and difficulty swallowing. The ED physician suspects acute epiglottitis. Which of the following interventions should be included in the child's immediate care? Select all that apply.

The child's chest x-ray indicates the presence of perihilar infiltrates. The child is producing yellow purulent sputum. The child's respiratory rate is rapid. The child's white blood cell count is elevated.

The child has been admitted to the hospital with a possible diagnosis of pneumonia. Which findings are consistent with this diagnosis? Select all that apply.

flutter valve device.

The nurse is developing a teaching plan for the parents of a 10-year-old boy with cystic fibrosis. The plan should include teaching about the use of a:

"The only time that newborns can breathe through their mouths is when they cry." "A newborn's respiratory tract is drier because the newborn doesn't make very much mucus."

The nurse is discussing the differences between children's and adult's respiratory systems. Which statements by the nurse are accurate? Select all that apply.

Vesicular

The nurse is auscultating the breath sounds of a 7-year-old child. Auscultation reveals low-pitched, soft sounds. The nurse interprets this finding as which type of breath sounds?

Monitor pulse oximetry readings. Assess lungs as directed by the physician or as the client's condition warrants. Ensure a pair of hemostats are at the bedside. Maintain chest tube bottle in an upright position and below the level of the chest.

The nurse is planning care for a child with a pneumothorax. The nurse adds the nursing diagnosis, "Risk for injury related to potential dislodgement of chest tube" to the care plan. When writing the care plan, what should the nurse be sure to include as interventions?

Anthrax Cellulitis Severe Impetigo Pertussis

The nurse is preparing for client admission. For which disease processes would the nurse gather supplies to administer intravenous antibiotic therapy for a client with a bacterial infection, Select all that apply.

Smaller number of alveoli

The nurse is providing care to a 2-year-old girl who is experiencing hypoxemia related to a respiratory infection. The nurse understands that which anatomic characteristic accounts for the higher risk of hypoxemia in children?

Avoid cigarette smoke. Use a peak expiratory flow meter (PEFM). Get annual flu vaccine.

What measures will the nurse teach parents and children to avoid asthma exacerbations? Select all that apply.

Blood gas

When the nurse assesses the respiratory status of a child, which diagnostic test is the most accurate and useful in reflecting the status?