Question 1

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase).This drug:

Accepted Answer

A) May cause mucus to thicken. 
B) May cause voice alterations. 
C) Is given subcutaneously. 
D) Is not indicated for children younger than 12 years. 
A) May cause mucus to thicken. 
B) May cause voice alterations. 
C) Is given subcutaneously. 
D) Is not indicated for children younger than 12 years.

Question 2

A school-age child has had an upper respiratory tract infection for several days and then began having a persistent dry,hacking cough that was worse at night.The cough has become productive in the past 24 hours.This is most suggestive of:

Accepted Answer

A) Bronchitis. 
B) Bronchiolitis. 
C) Viral-induced asthma. 
D) Acute spasmodic laryngitis. 
A) Bronchitis. 
B) Bronchiolitis. 
C) Viral-induced asthma. 
D) Acute spasmodic laryngitis.

Question 3

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV)bronchiolitis.Which interventions should be included in the child's care (Select all that apply)?

Accepted Answer

A) Administer antibiotics. 
B) Administer cough syrup. 
C) Encourage infant to drink 8 ounces of formula every 4 hours. 
D) Institute cluster care to encourage adequate rest. 
E) Place on noninvasive oxygen monitoring. 
A) Administer antibiotics. 
B) Administer cough syrup. 
C) Encourage infant to drink 8 ounces of formula every 4 hours. 
D) Institute cluster care to encourage adequate rest. 
E) Place on noninvasive oxygen monitoring.

Question 4

Chronic otitis media with effusion (OME)is differentiated from acute otitis media (AOM)because it is usually characterized by:

Accepted Answer

A) Fever as high as 40° C (104° F). 
B) Severe pain in the ear. 
C) Nausea and vomiting. 
D) A feeling of fullness in the ear. 
A) Fever as high as 40° C (104° F). 
B) Severe pain in the ear. 
C) Nausea and vomiting. 
D) A feeling of fullness in the ear.

Question 5

Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?

Accepted Answer

A) If it is present in a child, both parents are carriers of this defective gene. 
B) It is inherited as an autosomal dominant trait. 
C) It is a genetic defect found primarily in non-Caucasian population groups. 
D) There is a 50% chance that siblings of an affected child also will be affected. 
A) If it is present in a child, both parents are carriers of this defective gene. 
B) It is inherited as an autosomal dominant trait. 
C) It is a genetic defect found primarily in non-Caucasian population groups. 
D) There is a 50% chance that siblings of an affected child also will be affected.

Question 6

A child has had cold symptoms for more than 2 weeks,a headache,nasal congestion with purulent nasal drainage,facial tenderness,and a cough that increases during sleep.The nurse recognizes that these symptoms are characteristic of which respiratory condition?

Accepted Answer

A) Allergic rhinitis 
B) Bronchitis 
C) Asthma 
D) Sinusitis 
A) Allergic rhinitis 
B) Bronchitis 
C) Asthma 
D) Sinusitis

Question 7

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because they may develop:

Accepted Answer

A) Cough. 
B) Osteoporosis. 
C) Slowed growth. 
D) Cushing's syndrome. 
A) Cough. 
B) Osteoporosis. 
C) Slowed growth. 
D) Cushing's syndrome.

Exam 40: Respiratory Dysfunction

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase).This drug:

A school-age child has had an upper respiratory tract infection for several days and then began having a persistent dry,hacking cough that was worse at night.The cough has become productive in the past 24 hours.This is most suggestive of:

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV)bronchiolitis.Which interventions should be included in the child's care (Select all that apply)?

Chronic otitis media with effusion (OME)is differentiated from acute otitis media (AOM)because it is usually characterized by:

Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?

A child has had cold symptoms for more than 2 weeks,a headache,nasal congestion with purulent nasal drainage,facial tenderness,and a cough that increases during sleep.The nurse recognizes that these symptoms are characteristic of which respiratory condition?

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because they may develop:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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