Exam 28: The Child With Respiratory Dysfunction

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A family requires home care teaching with regard to preventative measures to use at home to avoid an asthmatic episode.What strategy should the nurse teach?

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The nurse is caring for a 1-month-old infant with respiratory syncytial virus (RSV)who is receiving 23% oxygen via a plastic hood.The child's SaO2 saturation is 88%,respiratory rate is 45 breaths/min,and pulse is 140 beats/min.Based on these assessments,what action should the nurse take?

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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?

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What diagnostic test for allergies involves the injection of specific allergens?

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What drug is usually given first in the emergency treatment of an acute,severe asthma episode in a young child?

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A 4-year-old girl is brought to the emergency department.She has a "froglike" croaking sound on inspiration,is agitated,and is drooling.She insists on sitting upright.The nurse should intervene in which manner?

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

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What condition is the leading cause of chronic illness in children?

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The mother of a 20-month-old boy tells the nurse that he has a barking cough at night.His temperature is 37° C (98.6° F).The nurse suspects mild croup and should recommend which intervention?

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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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The health care provider prescribes ceftazidime (Fortaz)75 mg per intravenous piggy back (IVPB)every 8 hours for a child with cystic fibrosis.The pharmacy sends the medication to the unit in a 100-ml bag with directions to run the medication over 30 minutes.What milliliters per hour will the nurse set the intravenous pump to run the medication over 30 minutes? Fill in the blank and record your answer in a whole number. _____________

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Children who are taking long-term inhaled steroids should be assessed frequently for what potential complication?

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Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection.Instructions for nose drops should include which information?

(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 is the earliest recognizable clinical manifestation(s)of cystic fibrosis (CF)?

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A quantitative sweat chloride test has been done on an 8-month-old child.What value should be indicative of cystic fibrosis (CF)?

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A 3-month-old infant is admitted to the pediatric unit for treatment of bronchiolitis.The infant's vital signs are T,101.6° F; P,106 beats/min apical; and R,70 breaths/min.The infant is irritable and fussy and coughs frequently.IV fluids are given via a peripheral venipuncture.Fluids by mouth were initially contraindicated for what reason?

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The clinic nurse is administering influenza vaccinations.Which children should not receive the live attenuated influenza vaccine (LAIV)?

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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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Chronic otitis media with effusion (OME)differs from acute otitis media (AOM)because it is usually characterized by which signs or symptoms?

(Multiple Choice)
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