Question 1

The nurse getting an end-of-shift report on a child with status asthmaticus should question which intervention?

Accepted Answer

A)  Administer oxygen by nasal cannula to keep oxygen saturation at 100%. 
B)  Assess intravenous (IV) maintenance fluids and site every hour. 
C)  Notify provider for signs of increasing respiratory distress. 
D)  Organize care to allow for uninterrupted rest periods. 
A)  Administer oxygen by nasal cannula to keep oxygen saturation at 100%. 
B)  Assess intravenous (IV) maintenance fluids and site every hour. 
C)  Notify provider for signs of increasing respiratory distress. 
D)  Organize care to allow for uninterrupted rest periods.

Question 2

An infant has laryngomalacia.What assessment finding correlates with this condition?

Accepted Answer

A)  Stridor 
B)  High-pitched cry 
C)  Nasal congestion 
D)  Spasmodic cough 
A)  Stridor 
B)  High-pitched cry 
C)  Nasal congestion 
D)  Spasmodic cough

Question 3

The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as much as possible.Which of the following best explains the nurse's rationale?

Accepted Answer

A)  Mothers of hospitalized toddlers often experience guilt. 
B)  The mother's presence will reduce anxiety and ease the child's respiratory efforts. 
C)  Separation from the mother is a major developmental threat at this age. 
D)  The mother can provide constant observations of the child's respiratory efforts. 
A)  Mothers of hospitalized toddlers often experience guilt. 
B)  The mother's presence will reduce anxiety and ease the child's respiratory efforts. 
C)  Separation from the mother is a major developmental threat at this age. 
D)  The mother can provide constant observations of the child's respiratory efforts.

Question 4

What is an appropriate beverage for the nurse to give to a child who had a tonsillectomy earlier in the day?

Accepted Answer

A)  Chocolate ice cream 
B)  Orange juice 
C)  Fruit punch 
D)  Apple juice 
A)  Chocolate ice cream 
B)  Orange juice 
C)  Fruit punch 
D)  Apple juice

Question 5

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

Accepted Answer

A)  Meconium ileus 
B)  History of poor intestinal absorption 
C)  Foul-smelling, frothy, greasy stools 
D)  Recurrent pneumonia and lung infections 
A)  Meconium ileus 
B)  History of poor intestinal absorption 
C)  Foul-smelling, frothy, greasy stools 
D)  Recurrent pneumonia and lung infections

Question 6

Which child requires a Mantoux test?

Accepted Answer

A)  The child who has episodes of nighttime wheezing and coughing 
B)  The child who has a history of allergic rhinitis 
C)  The child whose babysitter has received a tuberculosis diagnosis 
D)  The premature infant who is being treated for apnea of infancy 
A)  The child who has episodes of nighttime wheezing and coughing 
B)  The child who has a history of allergic rhinitis 
C)  The child whose babysitter has received a tuberculosis diagnosis 
D)  The premature infant who is being treated for apnea of infancy

Question 7

What should the nurse teach a child about using an albuterol metered-dose inhaler for exercise-induced asthma?

Accepted Answer

A)  Take two puffs every 6 hours around the clock. 
B)  Use the inhaler only when the child is short of breath. 
C)  Use the inhaler 30 minutes before exercise. 
D)  Take one to two puffs every morning upon awakening. 
A)  Take two puffs every 6 hours around the clock. 
B)  Use the inhaler only when the child is short of breath. 
C)  Use the inhaler 30 minutes before exercise. 
D)  Take one to two puffs every morning upon awakening.

Question 8

Which statement made by a parent indicates an understanding about treatment of streptococcal pharyngitis?

Accepted Answer

A)  "I guess my child will need to have his tonsils removed." 
B)  "A couple of days of rest and some ibuprofen will take care of this." 
C)  "I should give the penicillin three times a day for 10 days." 
D)  "I am giving my child prednisone to decrease the swelling of the tonsils." 
A)  "I guess my child will need to have his tonsils removed." 
B)  "A couple of days of rest and some ibuprofen will take care of this." 
C)  "I should give the penicillin three times a day for 10 days." 
D)  "I am giving my child prednisone to decrease the swelling of the tonsils."

Exam 45: The Child with a Respiratory Alteration

The nurse getting an end-of-shift report on a child with status asthmaticus should question which intervention?

An infant has laryngomalacia.What assessment finding correlates with this condition?

The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as much as possible.Which of the following best explains the nurse's rationale?

What is an appropriate beverage for the nurse to give to a child who had a tonsillectomy earlier in the day?

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

Which child requires a Mantoux test?

What should the nurse teach a child about using an albuterol metered-dose inhaler for exercise-induced asthma?

Which statement made by a parent indicates an understanding about treatment of streptococcal pharyngitis?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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