Exam 28: The Child with Respiratory Dysfunction

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The nurse is preparing to admit a 7-year-old child with pulmonary edema. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

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A school-age child has asthma. The nurse should teach the child that if a peak expiratory flow rate is in the yellow zone, this means that the asthma control is what?

(Multiple Choice)
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The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant shows signs or symptoms of which condition?

(Multiple Choice)
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The nurse is caring for a child with carbon monoxide (CO) poisoning associated with smoke inhalation. What intervention is essential in this child's care?

(Multiple Choice)
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A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered?

(Multiple Choice)
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What diagnostic test for allergies involves the injection of specific allergens?

(Multiple Choice)
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When caring for a child after a tonsillectomy, what intervention should the nurse do?

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A child is diagnosed with active pulmonary tuberculosis. What medications does the nurse anticipate to be prescribed for the first 2 months? (Select all that apply.)

(Multiple Choice)
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An infant with a congenital heart defect is to receive a dose of palivizumab (Synagis). What is the purpose of this?

(Multiple Choice)
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An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?

(Multiple Choice)
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The nurse is calculating the amount of expected urinary output for a 24-hour period on a child with bacterial pneumonia who weighs 22 lb. The nurse recognizes the formula to be used is 1 ml/kg/hr. What is the expected 24-hour urinary output for this child in milliliters? Record your answer below in a whole number. _____________

(Short Answer)
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Cystic fibrosis (CF) may affect single or multiple systems of the body. What is the primary factor responsible for possible multiple clinical manifestations in CF?

(Multiple Choice)
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A child has a streptococcal throat infection and is being treated with antibiotics. What should the nurse teach the parents to prevent infection of others?

(Multiple Choice)
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What statement is the most descriptive of asthma?

(Multiple Choice)
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A toddler has a unilateral foul-smelling nasal discharge and frequent sneezing. The nurse should suspect what condition?

(Multiple Choice)
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The nurse is assessing a child with croup in the emergency department. The child has a sore throat and is drooling. Examining the child's throat using a tongue depressor might precipitate what condition?

(Multiple Choice)
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The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. What nursing action should be included in the care of the child?

(Multiple Choice)
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An 18-month-old child is seen in the clinic with otitis media (OM). Oral amoxicillin is prescribed. What instructions should be given to the parent?

(Multiple Choice)
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What medication is contraindicated in children post tonsillectomy and adenoidectomy?

(Multiple Choice)
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One of the goals for children with asthma is to maintain the child's normal functioning. What principle of treatment helps to accomplish this goal?

(Multiple Choice)
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