What best describes why children have fewer respiratory tract infections as they grow
older? Repeated exposure to organisms causes increased immunity.
Decongestant nose drops are recommended for a 10monthold infant with an upper
respiratory tract infection. Instructions for nose drops should include: avoid use >3 days
When caring for an infant with an upper respiratory tract infection and elevated
temperature, an appropriate nursing intervention is to: Give small amounts of favorite
fluids frequently to prevent dehydration.
The parent of an infant with nasopharyngitis should be instructed to notify the health
professional if the infant: Shows signs of an earache.
It is generally recommended that a child with acute streptococcal pharyngitis can return
to school: after taking antibiotics for 24 hours
Which type of croup is always considered a medical emergency? epiglotitis
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay
at the bedside as much as possible. The nurse's rationale for this action is primarily that:
The mother's presence will reduce anxiety and ease child's respiratory efforts.
A schoolage child has had an upper respiratory tract infection for several days and then
began having a persistent dry, hacking cough that was worse at night. The cough has
become productive in the past 24 hours. This is most suggestive of: bronchitis
The nurse is caring for a child with acute respiratory distress syndrome (ARDS)
associated with sepsis. Nursing actions should include: monitor pulse ox
Asthma in infants is usually triggered by: a viral infection
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory
phase of respiration. This suggests: asthma
It is now recommended that children with asthma who are taking longterm inhaled
steroids should be assessed frequently because they may develop: slowed growth
βAdrenergic agonists and methylxanthines are often prescribed for a child with an
asthma attack. What is their action? bronchodilators
A parent whose two schoolage children have asthma asks the nurse in what sports, if
any, they can participate. The nurse should recommend: swimming
,Which statement expresses accurately the genetic implications of cystic fibrosis (CF)? if
it is present in child, both parents are carriers of the defective gene
The earliest recognizable clinical manifestation(s) of cystic fibrosis (CF) is: meconium
ileus
Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this
diagnosis? sweat chloride test
Pancreatic enzymes are administered to the child with cystic fibrosis. Nursing
considerations should include: Pancreatic enzymes can be swallowed whole or
sprinkled on a small amount of food taken at the beginning of a meal.
In providing nourishment for a child with cystic fibrosis (CF), which factor should the
nurse keep in mind? diet should be high in carbs and protein
An appropriate nursing intervention when caring for a child with pneumonia is to:
encourage rest
Cluster care to conserve energy. AND Administration of antibiotics.
The nurse is caring for a 10monthold infant with respiratory syncytial virus (RSV)
bronchiolitis. Which interventions should be included in the child's care? Choose all that
apply. Encourage infant to drink 8 ounces of formula every 4 hours. AND Cluster care
to encourage adequate rest.AND Place on noninvasive oxygen monitoring.
A complication that may occur after a cardiac catheterization is: cardiac arrythmia
Jose is a 4yearold child scheduled for a cardiac catheterization. Preoperative teaching
should be: adapted to level of development so he can understand
The nurse is caring for a schoolage girl who has had a cardiac catheterization. The child
tells the nurse that her bandage is ""too wet."" The nurse finds the bandage and bed
soaked with blood. The most appropriate initial nursing action is to: apply direct
pressure above cath site
Which defect results in increased pulmonary blood flow? atrial septal defect
Which structural defects constitute tetralogy of Fallot? Pulmonic stenosis, ventricular
septal defect, overriding aorta, right ventricular hypertrophy
What is best described as the inability of the heart to pump an adequate amount of blood
to the systemic circulation at normal filling pressures? CHF
, A clinical manifestation of the systemic venous congestion that can occur with congestive
heart failure is: peripheral edema
A beneficial effect of administering digoxin (Lanoxin) is that it: dec edema
Which drug is an angiotensinconverting enzyme (ACE) inhibitor? captopril (captoten)
A common sign of digoxin toxicity is: vomitting
The parents of a young child with congestive heart failure tell the nurse that they are
""nervous"" about giving digoxin. The nurse's response should be based on knowing that:
Parents must learn specific, important guidelines for administration of digoxin.
As part of the tx for CHF, the child takes the diuretic furosemide. As part of teaching
home care, the nurse encourages the family to give the child bananas, oranges, and leafy
vegetables. These foods are recommended because they are high in: potassium
An 8monthold infant has a hypercyanotic spell while blood is being drawn. The nurse's
first action should be to: place child in knee to chest position
The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The
nurse recognizes that a risk of cerebrovascular accidents (strokes) exists. An important
objective to decrease this risk is to: prevent dehydration
Parents of a 3yearold child with congenital heart disease are afraid to let their child play
with other children because of possible overexertion. The nurse's reply should be based
on knowing that: child needs opportunities to play with peers
When preparing a schoolage child and the family for heart surgery, the nurse should
consider: Letting child hear the sounds of an electrocardiograph monitor.
Seventytwo hours after cardiac surgery, a young child has a temperature of 37.7 C (101
F). The nurse should: report findings to physician
An important nursing consideration when suctioning a young child who has had heart
surgery is to: give supplemental oxygen before and after suctioning
The nurse is caring for a child after heart surgery. What should he or she do if evidence is
found of cardiac tamponade? report this to physician
An important nursing consideration when chest tubes will be removed from a child is to:
administer analgesics before procedure
The most common causative agent of bacterial endocarditis is: Streptococcus viridans.
older? Repeated exposure to organisms causes increased immunity.
Decongestant nose drops are recommended for a 10monthold infant with an upper
respiratory tract infection. Instructions for nose drops should include: avoid use >3 days
When caring for an infant with an upper respiratory tract infection and elevated
temperature, an appropriate nursing intervention is to: Give small amounts of favorite
fluids frequently to prevent dehydration.
The parent of an infant with nasopharyngitis should be instructed to notify the health
professional if the infant: Shows signs of an earache.
It is generally recommended that a child with acute streptococcal pharyngitis can return
to school: after taking antibiotics for 24 hours
Which type of croup is always considered a medical emergency? epiglotitis
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay
at the bedside as much as possible. The nurse's rationale for this action is primarily that:
The mother's presence will reduce anxiety and ease child's respiratory efforts.
A schoolage child has had an upper respiratory tract infection for several days and then
began having a persistent dry, hacking cough that was worse at night. The cough has
become productive in the past 24 hours. This is most suggestive of: bronchitis
The nurse is caring for a child with acute respiratory distress syndrome (ARDS)
associated with sepsis. Nursing actions should include: monitor pulse ox
Asthma in infants is usually triggered by: a viral infection
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory
phase of respiration. This suggests: asthma
It is now recommended that children with asthma who are taking longterm inhaled
steroids should be assessed frequently because they may develop: slowed growth
βAdrenergic agonists and methylxanthines are often prescribed for a child with an
asthma attack. What is their action? bronchodilators
A parent whose two schoolage children have asthma asks the nurse in what sports, if
any, they can participate. The nurse should recommend: swimming
,Which statement expresses accurately the genetic implications of cystic fibrosis (CF)? if
it is present in child, both parents are carriers of the defective gene
The earliest recognizable clinical manifestation(s) of cystic fibrosis (CF) is: meconium
ileus
Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this
diagnosis? sweat chloride test
Pancreatic enzymes are administered to the child with cystic fibrosis. Nursing
considerations should include: Pancreatic enzymes can be swallowed whole or
sprinkled on a small amount of food taken at the beginning of a meal.
In providing nourishment for a child with cystic fibrosis (CF), which factor should the
nurse keep in mind? diet should be high in carbs and protein
An appropriate nursing intervention when caring for a child with pneumonia is to:
encourage rest
Cluster care to conserve energy. AND Administration of antibiotics.
The nurse is caring for a 10monthold infant with respiratory syncytial virus (RSV)
bronchiolitis. Which interventions should be included in the child's care? Choose all that
apply. Encourage infant to drink 8 ounces of formula every 4 hours. AND Cluster care
to encourage adequate rest.AND Place on noninvasive oxygen monitoring.
A complication that may occur after a cardiac catheterization is: cardiac arrythmia
Jose is a 4yearold child scheduled for a cardiac catheterization. Preoperative teaching
should be: adapted to level of development so he can understand
The nurse is caring for a schoolage girl who has had a cardiac catheterization. The child
tells the nurse that her bandage is ""too wet."" The nurse finds the bandage and bed
soaked with blood. The most appropriate initial nursing action is to: apply direct
pressure above cath site
Which defect results in increased pulmonary blood flow? atrial septal defect
Which structural defects constitute tetralogy of Fallot? Pulmonic stenosis, ventricular
septal defect, overriding aorta, right ventricular hypertrophy
What is best described as the inability of the heart to pump an adequate amount of blood
to the systemic circulation at normal filling pressures? CHF
, A clinical manifestation of the systemic venous congestion that can occur with congestive
heart failure is: peripheral edema
A beneficial effect of administering digoxin (Lanoxin) is that it: dec edema
Which drug is an angiotensinconverting enzyme (ACE) inhibitor? captopril (captoten)
A common sign of digoxin toxicity is: vomitting
The parents of a young child with congestive heart failure tell the nurse that they are
""nervous"" about giving digoxin. The nurse's response should be based on knowing that:
Parents must learn specific, important guidelines for administration of digoxin.
As part of the tx for CHF, the child takes the diuretic furosemide. As part of teaching
home care, the nurse encourages the family to give the child bananas, oranges, and leafy
vegetables. These foods are recommended because they are high in: potassium
An 8monthold infant has a hypercyanotic spell while blood is being drawn. The nurse's
first action should be to: place child in knee to chest position
The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The
nurse recognizes that a risk of cerebrovascular accidents (strokes) exists. An important
objective to decrease this risk is to: prevent dehydration
Parents of a 3yearold child with congenital heart disease are afraid to let their child play
with other children because of possible overexertion. The nurse's reply should be based
on knowing that: child needs opportunities to play with peers
When preparing a schoolage child and the family for heart surgery, the nurse should
consider: Letting child hear the sounds of an electrocardiograph monitor.
Seventytwo hours after cardiac surgery, a young child has a temperature of 37.7 C (101
F). The nurse should: report findings to physician
An important nursing consideration when suctioning a young child who has had heart
surgery is to: give supplemental oxygen before and after suctioning
The nurse is caring for a child after heart surgery. What should he or she do if evidence is
found of cardiac tamponade? report this to physician
An important nursing consideration when chest tubes will be removed from a child is to:
administer analgesics before procedure
The most common causative agent of bacterial endocarditis is: Streptococcus viridans.
