Exam 23: Caring for the Child With a Respiratory Condition

The nurse checking a pediatric patient into the clinic says to a nursing student,"Wow-does that kid have some allergic shiners!" Which interpretation by the student nurse is correct?

A child is admitted after a severe asthma attack.Respiratory status is stable at this time.Which is the priority intervention for this child?

A nurse is assessing a 10-year-old child with asthma.The child and parents report daily Symptoms,but the child only wakes up coughing once or twice a week,uses an albuterol (Ventolin)inhaler daily,and is occasionally prevented from participating in physical activity by symptoms.What asthma severity classification does the nurse assign to the child?

A 3-year-old child is brought to the emergency department with sudden onset of hoarseness,wheezing,and cough.The child has a history of asthma,but the parent is worried about an aspirated toy part.Which action by the nurse would quickly differentiate between the two?

A 1-year-old child has the following arterial blood gas values (ABGs): pH: 7.28,PCO₂: 58 mm Hg,PO₂: 77 mm Hg,HCO₃: 14 mEq/L,O₂ saturation: 88%.Which interpretation of the results by the nurse is the most accurate?

A pediatric clinic nurse teaches parents how to care for their toddler who has nasal congestion.What anatomical difference between children and adults is a concern with congestion in children?

A child had a tonsillectomy this morning.What action by the nurse is most important for the child's safety?

A nurse is teaching the parents of a 10-year-old child diagnosed with cystic fibrosis.Which instruction by the nurse is most appropriate?

The pediatric nurse examines a neonate and documents that the baby is pink in color when crying but turns bluish when quiet.Which question would be most appropriate to ask the parent?

A nurse is providing anticipatory guidance to parents of a toddler.Which objects does the nurse include as a frequent cause of aspiration?

A diabetic mother delivers an infant at 36 weeks' gestation who has Apgar scores of 5 and 6,has central cyanosis,and has a respiratory rate of 66 breaths/minute.What medication does the nurse anticipate the child will receive?

The nursing student studying respiratory anatomy and physiology learns that which tissue or organ grows faster than any other tissue or organ in a child?

A 5-year-old child is brought into the clinic by a parent,who reports the child has a "sore throat." Which assessment finding would require immediate notification to the health-care provider?

Which statement by the nursing student indicates a correct understanding of the anatomy and physiology of the respiratory system?

An emergency department nurse is supervising a nursing student who is preparing a racemic epinephrine (MicroNefrin)nebulizer treatment for a child with stridor from suspected epiglottitis.The student prepares 0.75 mg in 2 mL of normal saline.Which action by the registered nurse is most appropriate?

A nurse is caring for a child who has a chest tube.After ambulating and returning the child to bed,the nurse notes that the child has dyspnea and decreasing oxygen saturation readings.Which nursing action is the priority?

A child has been seen in the clinic and diagnosed with bronchitis.The next day,the mother calls the clinic to ask about using cough medicine to decrease the child's cough.Which response by the nurse is the most appropriate?

The nursing student reads the diagnosis of a lower respiratory infection in a patient's chart.The student knows that the lower respiratory system is composed of which structures?

The pediatric clinic nurse is teaching a parent home-care measures for a 12-year-old child diagnosed with viral pharyngitis.Which information is appropriate for the nurse to include in the teaching session?

The pediatric nurse describes the effects of cystic fibrosis on the body systems to the parents of a child recently diagnosed with the disease.Which statements does the nurse include to the parents?