Exam 23: Caring for the Child With a Respiratory Condition

All members of a newly arrived immigrant family from a third-world country have received positive tuberculosis skin test results.The family consists of parents,a 2-year-old,and a 7-year-old.Which therapy regimen does the family practice nurse coordinate for this family?

The mother of a 5-year-old child calls the clinic to ask if her child has a mild respiratory infection or needs to be seen.Which question by the nurse would elicit the most helpful information?

The nurse is caring for a child who experiences frequent ear infections.The child's mother wants to know why this is occurring.Which anatomical differences in the pediatric patient increase the risk for otitis media?

The nurse suspects a pediatric patient is experiencing acute respiratory distress syndrome (ARDS).What laboratory finding correlates to this condition?

An 11-year-old child who has a history of asthma is brought to the family practice clinic by a parent who reports that the child has white plaque over the inside of the mouth and coating the tongue.Which question by the nurse would elicit the most useful information?

A nurse is using the CUPS method of assessing a child's respiratory status and documents the following: open airway containing secretions,increased respiratory rate and effort,wheezing,mucous membranes pale pink in color,and fever.Based on this system,which is the appropriate rating for this child?

A nurse is caring for an infant diagnosed with esophageal atresia (EA)and a tracheoesophageal fistula (TEF)prior to surgical correction.Which assessment finding indicates that a priority goal is being met?

The pediatric nurse is observing a student nurse teach a child how to use a peak flow meter.Which instruction by the student requires intervention by the pediatric nurse?

A father calls the pediatric clinic to report that his child was diagnosed with influenza at an urgent care facility yesterday and was prescribed oseltamivir (Tamiflu).The father worries that the dose of 75 mg twice a day is too high.He reports that his child weighs 90 lb (40.9 kg).Which response by the nurse is best?

A 2-year-old child has croup.Which nursing interventions are appropriate for this child?

A nurse is planning a seminar to address asthma in the community.To have the greatest impact,which demographic group should the nurse target?

A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).

A 7-year-old child is brought to the clinic with what the parent describes as "tonsillitis." The child has a moderate fever,foul breath,and dysphagia,and occasionally spits up lumps of foul-smelling material.Which medication does the nurse prepare to instruct the parents on based on the child's symptoms?

The nurse is assessing a patient diagnosed with cystic fibrosis.Which findings support the patient's diagnosis?

A 6-year-old child is admitted after being in a fire at school.The physician plans to perform a bronchoscopy to assess for airway damage.Which nursing action is the priority for this child?

The parents of a school-age child with frequent sinus infections ask the nurse how to prevent the infections from occurring.Which questions by the nurse to the parents would elicit helpful information as to the cause of the problem?

The nurse caring for children with asthma recognizes which immunoglobulin to be involved in causing activation of the airway mast cells and macrophages?

The pediatric nurse explains to the parents of a 1-year-old patient with pneumonia that the differences between the adult's and child's respiratory system affect function and subsequent respiratory conditions.Which difference does the nurse include in the discussion with the patient's parents?

A child with severe pertussis has been prescribed erythromycin (Erythrocin)and prednisone (Deltasone).Four days later,the parent informs the clinic nurse the child is sleeping more than usual and is not eating well.Which response by the nurse is the most appropriate?

The pediatric clinic nurse cares for many children with viral upper respiratory infections.Which seasonal characteristics of these infections would the clinic nurse include when educating parents?