Exam 28: The Child With Respiratory Dysfunction

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

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?

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (DNase).What statement about DNase is true?

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?

What do the initial signs of respiratory syncytial virus (RSV)infection in an infant include?

What tests aid in the diagnosis of cystic fibrosis (CF)?

Parents bring their 15-month-old infant to the emergency department at 3:00 AM because the toddler has a temperature of 39° C (102.2° F),is crying inconsolably,and is tugging at the ears.A diagnosis of otitis media (OM)is made.In addition to antibiotic therapy,the nurse practitioner should instruct the parents to use what medication?

A 3-year-old child woke up in the middle of the night with a croupy cough and inspiratory stridor.The parents bring the child to the emergency department,but by the time they arrive,the cough is gone,and the stridor has resolved.What can the nurse teach the parents with regard to this type of croup?

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. _____________

A school-age child with cystic fibrosis takes four enzyme capsules with meals.The child is having four or five bowel movements per day.The nurse's action in regard to the pancreatic enzymes is based on the knowledge that the dosage is what?

The health care provider prescribes vancomycin 200 mg per intravenous piggy back (IVPB)every 6 hours for a child with cystic fibrosis.The pharmacy sends the medication to the unit in a 150-ml bag with directions to run the medication over 120 minutes.What milliliters per hour will the nurse set the intravenous pump to run the medication over 120 minutes? Fill in the blank and record your answer in a whole number. _____________

The nurse is interpreting a tuberculin skin test.If the nurse finds a result of an induration 5 mm or larger,in which child should the nurse document this finding as positive?