Exam 21: The Child with Respiratory Dysfunction

Home care is being considered for a young child who is ventilator-dependent. Which factor is most important in deciding whether home care is appropriate?

A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma?

The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. What is the priority nursing intervention?

The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?

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

Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications?

A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which tests should the nurse expect?

A school-age child has been admitted with an acute asthma episode. The child is receiving oxygen by nasal prongs at 2 liters. How often should the nurse plan to monitor the child's pulse oximetry status?

The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant displays which clinical manifestation?

How is chronic otitis media with effusion (OME) differentiated from acute otitis media (AOM)?

Which consideration is the most important in managing tuberculosis (TB) in children?

Cardiopulmonary resuscitation (CPR) is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible?

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside as much as possible. The nurse's rationale for this action is described primarily in which statement?

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because which disease or assessment findings may develop?

An 18-month-old child is seen in the clinic with AOM. Trimethoprim-sulfamethoxazole (Bactrim) is prescribed. Which statement made by the parent indicates a correct understanding of the instructions?

Which is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?

Which type of croup is always considered a medical emergency?

A child with cystic fibrosis (CF) is receiving recombinant human deoxyribonuclease (DNase). Which is an adverse effect of this medication?

The nurse enters a room and finds a 6-year-old child who is unconscious. After calling for help and before being able to use an automatic external defibrillator, which steps should the nurse take? Place in correct order. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f). A) Place on a hard surface. B) Administer 30 chest compressions with two breaths. C) Feel carotid pulse while maintaining head tilt with the other hand. D) Use the head tilt-chin lift maneuver and check for breathing. E) Place heel of one hand on lower half of sternum with other hand on top. F) Give two rescue breaths.

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?