Exam 23: Caring for the Child With a Respiratory Condition

A child is admitted to the pediatric unit with respiratory syncytial virus (RSV).Which action by the nurse is best for infection control?

Parents of a 3-year-old call the clinic and ask for information on sinusitis.Which symptoms will the nurse include in the explanation to the parents?

A father brings his 1-year-old son to the clinic and states that when he kisses the child's cheek,it tastes salty.Which diagnostic test does the nurse educate the father on based on the father's statement?

A 5-month-old child is brought to the pediatric clinic by the parent,who reports the child has had a cough for 4 weeks.When reviewing the child's history,the nurse assesses that the child's last DTaP vaccination was at 2 months of age.Which action by the nurse is the most appropriate?

A nurse is educating the parents of a 5-year-old with bacterial otitis media.Which discharge instruction is most important?

Four children are in the pediatric clinic waiting to be seen.Which patient should the nurse see first?

A new nurse in the emergency department is examining a 4-year-old child who is sitting upright,is drooling,and is restless.Which action by the new nurse causes an experienced nurse to intervene?

A school-age child has asthma and lives in a home where both parents smoke.The nurse has provided extensive education to the parents on the dangers of second-hand smoke.Which assessment by the nurse indicates that goals for a family nursing diagnosis have been met?

A 10-year-old child is brought to the emergency department by the rescue squad from the scene of a house fire.The child is confused and agitated.Which action by the nurse is the priority for this child?

A 2-year-old child in a pediatric unit accidentally swallows a loose toy part and begins to exhibit signs of choking and wheezing.The pediatric nurse begins the Heimlich maneuver.After performing abdominal thrusts,what action does the nurse take next?

The pediatric nurse is providing care to a neonate diagnosed with cystic fibrosis.When discussing the clinical manifestations of this disease process,which topics will the nurse include in the teaching session?

An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV).The infant still has some mild respiratory distress at times.Which discharge instruction is the priority for this infant?

A nurse working in a pediatric clinic is collecting data on children as part of a research study.What action by the nurse is most appropriate?

The nurse is caring for a child with bronchopulmonary dysplasia receiving furosemide (Lasix).Which finding would lead the nurse to conclude the child has a side effect of this drug?

A parent brings a 2-year-old child to the clinic,reporting that the child has an ear infection.Which assessment information leads the nurse to suspect a diagnosis of bacterial otitis media?

The mother of a 5-year-old girl describes her daughter's symptoms to the nurse in the emergency room.She states that her daughter has had "a dry,hacking cough for the past 3 days that gets worse during the night." She further states that "now she is coughing up phlegm." Which discharge instruction does the nurse plan to provide?

The parents of a child diagnosed with cystic fibrosis (CF)consult the nurse,stating they want to have more children but are worried about subsequent children also having the disease.Which information does the nurse provide the parents?

A child with pertussis is in the catarrhal stage of the disease.Which assessment findings correlate with this condition?

A nurse is caring for an infant born with esophageal atresia (EA)and tracheoesophageal fistula (TEF)prior to surgery.Which actions taken by a student nurse cause the registered nurse to intervene?

The mother of a child diagnosed with influenza in the emergency department last night calls the family practice clinic to ask if she can give the child store-brand "flu medicine." Which response by the nurse is the most appropriate?