quizlet questions [2022].
Chapter 18:
What is a symptom of bacterial pharyngitis?
Fever
If there is a foreign body in the larynx, how will the client present?
With stridor
The nurse working at the child community clinic must administer the influenza vaccine to the
high-risk kids first. Which child would she choose?
23-month-old Ava who had heart surgery as an infant for a defect
The nurse is administering medications to a child with cystic fibrosis. Which method would the
nurse most likely use to give medications to treat the pancreatic involvement seen in this
disease?
Open capsule and sprinkle on food
What statement is the most accurate regarding the structure and function of the newborn's
respiratory system?
Most infants are nasal breathers rather than mouth breathers.
When interviewed further they report that the child has a high fever, is very anxious, and is
breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse
recognizes these symptoms as those seen with which disorder?
Epiglottitis
During a class for caregivers of children with asthma, a caregiver asks the nurse the following
question when medications are being discussed. "They told me about a plastic device my child
can hold in his a hand which will give him a premeasured and exact amount of his
corticosteroid." The nurse recognizes that the caregiver is most likely referring to which
device? Metered-dose inhaler
In caring for the child with asthma, the nurse recognizes that bronchodilator medications are
administered to children with asthma for which reason?
Relief of acute symptoms
What measure at home could help a child with an upper respiratory infection breathe more
easily?
Increasing room humidity
Which nursing diagnosis would be most appropriate for a child with pneumonia during the acute
phase of illness?
Activity intolerance related to poor oxygen-carbon dioxide exchange
What is a complication of cystic fibrosis?
,quizlet questions [2022].
Pneumothorax
The nurse is taking a respiratory history of a newly admitted child. While documenting the
symptoms the child has, what other item is important to document when taking a history on an
altered respiratory status?
The triggers in the environment
Pancreatic enzymes are part of the treatment in cystic fibrosis. When should the nurse administer
the enzymes?
Before meals and snacks with milk
The nurse is collecting data on a child admitted with a respiratory concern. The nurse notes that
the child is anxious and sitting forward with the neck extended to breath. The signs the nurse
noted indicate the child likely has:
epiglottitis.
The nurse is caring for a child who has been admitted with a diagnosis of asthma. What
laboratory/diagnostic tool would likely have been used for this child?
Pulmonary functions test
A group of nurses is reviewing the diagnosis of cystic fibrosis. With regard to the effect of this
disease on the body, in addition to the lungs which parts of the body are most affected by this
disease?
Pancreas and liver
A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Sit the child upright and apply pressure to the sides of the nose.
Wheezing in children is best heard:
as the child exhales.
The nurse identifies a nursing diagnosis of Ineffective airway clearance related to inflammation
and copious thick secretions. What action is the priority?
Suctioning secretions from the airway
A 4-year-old with bronchiolitis has been admitted to the hospital with respiratory compromise.
The father asks the nurse why the physician won't prescribe an antibiotic, "My child just keeps
getting worse." What is the best response by the nurse?
"Bronchiolitis is almost always caused by the respiratory syncytial virus (RSV).
Unfortunately, antibiotics don't work on viruses."
What is the No. 1 treatment for hypoxemia?
Oxygen
The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the
Emergency Department at 2 AM on a cold winter night to say that the child has awakened with a
,quizlet questions [2022].
barking cough and an elevated temperature; she seems blue around her mouth. The nurse would
most appropriately recommend what action to the caregiver?
"Bring the child to the emergency room immediately."
A caregiver calls the pediatrician's office and reports to the nurse that her 4-year-old, who was
fine the previous day, complained of a sore throat early in the morning and now has a
temperature of 102.6° F (39.2° C). The caregiver has tried to get the child to nap but the child
gets panicky, immediately sits back up, and leans forward with her mouth open and tongue out
when the caregiver encourages her to lie down. The nurse suspects the child has which
condition?
Epiglottitis
The nurse is teaching the caregivers of a child with cystic fibrosis. What is it most important for
the nurse to teach this family?
Encourage everyone in the family to use good hand-washing techniques.
The caregivers of an 8-year-old bring their child to the pediatrician and report that the child has
not had breathing problems before, but since taking up lacrosse the child has been coughing and
wheezing at the end of every practice and game. Their friend's child has often been hospitalized
for asthma; they are concerned that their child has a similar illness. The nurse knows that because
the problems seem to be directly related to exercise, it is likely that the child will be able to be
treated with:
a bronchodilator and mast cell stabilizers.
The nurse is reinforcing teaching with the parents of a 2-year-old who has cystic fibrosis
regarding medications. The nurse suggests that pancreatic enzymes may be given by which
method?
Sprinkled onto the food
The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child
has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the
staff nurse explains the cause of this symptom to be:
Chronic lack of oxygen
A 4-year-old girl has been admitted to the hospital with a diagnosis of pneumococcal pneumonia.
Her parents are extremely distraught over her condition and the fact she has not wanted to eat
anything for the past 2 days. Which nursing approach would be most important to take to help
alleviate the high anxiety level of these parents?
Allow the parents to remain with the child as much as possible.
After teaching the parents of an 8-year-old girl with asthma about common allergens their
child should avoid, the nurse determines that the parents need additional teaching when they
identify what as a common allergen for asthma?
Shellfish
, quizlet questions [2022].
The school nurse is caring for a 12-year-old boy with a bloody nose. Which action would be
most appropriate for the nurse to do?
Seat the child leaning forward and pinch the anterior portion of the nose closed.
Which factor is a trigger for a child with asthma?
Sweeping the floor
Marcy is 4 years old with cystic fibrosis. The nurse is trying to pick a method to teach Marcy a
good way to exercise her lungs. Which would be the developmentally correct strategy to help
Marcy?
Teach Marcy to blow bubbles.
The nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis.
Which laboratory/diagnostic tools would most likely be used to help determine the diagnosis of
this child?
Sweat sodium chloride test
A 7-year-old child has been scheduled for a tonsillectomy. What would be most important to
assess prior to surgery?
Bleeding and clotting time
The nursing diagnosis you anticipate that would best apply to a child with allergic rhinitis is:
pain related to sinus edema and headache.
A group of nursing students are reviewing information about variations in the anatomy of a
child's respiratory tract structures in comparison to adults. The students demonstrate an
understanding of the information when they describe the shape of the larynx as:
Funnel
A child with a suspected airway obstruction is brought to the emergency room. He produces a
harsh, strident sound on inspiration (stridor). Where is the obstruction likely to be located, based
on this information?
In the larynx
The nurse is caring for a 14-month-old boy with cystic fibrosis. Which sign of ineffective family
coping requires urgent intervention?
Compliance with therapy is diminished.
The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing.
The nurse will most likely include which teaching point if the child is suspected of having
asthma?
Chapter 18:
What is a symptom of bacterial pharyngitis?
Fever
If there is a foreign body in the larynx, how will the client present?
With stridor
The nurse working at the child community clinic must administer the influenza vaccine to the
high-risk kids first. Which child would she choose?
23-month-old Ava who had heart surgery as an infant for a defect
The nurse is administering medications to a child with cystic fibrosis. Which method would the
nurse most likely use to give medications to treat the pancreatic involvement seen in this
disease?
Open capsule and sprinkle on food
What statement is the most accurate regarding the structure and function of the newborn's
respiratory system?
Most infants are nasal breathers rather than mouth breathers.
When interviewed further they report that the child has a high fever, is very anxious, and is
breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse
recognizes these symptoms as those seen with which disorder?
Epiglottitis
During a class for caregivers of children with asthma, a caregiver asks the nurse the following
question when medications are being discussed. "They told me about a plastic device my child
can hold in his a hand which will give him a premeasured and exact amount of his
corticosteroid." The nurse recognizes that the caregiver is most likely referring to which
device? Metered-dose inhaler
In caring for the child with asthma, the nurse recognizes that bronchodilator medications are
administered to children with asthma for which reason?
Relief of acute symptoms
What measure at home could help a child with an upper respiratory infection breathe more
easily?
Increasing room humidity
Which nursing diagnosis would be most appropriate for a child with pneumonia during the acute
phase of illness?
Activity intolerance related to poor oxygen-carbon dioxide exchange
What is a complication of cystic fibrosis?
,quizlet questions [2022].
Pneumothorax
The nurse is taking a respiratory history of a newly admitted child. While documenting the
symptoms the child has, what other item is important to document when taking a history on an
altered respiratory status?
The triggers in the environment
Pancreatic enzymes are part of the treatment in cystic fibrosis. When should the nurse administer
the enzymes?
Before meals and snacks with milk
The nurse is collecting data on a child admitted with a respiratory concern. The nurse notes that
the child is anxious and sitting forward with the neck extended to breath. The signs the nurse
noted indicate the child likely has:
epiglottitis.
The nurse is caring for a child who has been admitted with a diagnosis of asthma. What
laboratory/diagnostic tool would likely have been used for this child?
Pulmonary functions test
A group of nurses is reviewing the diagnosis of cystic fibrosis. With regard to the effect of this
disease on the body, in addition to the lungs which parts of the body are most affected by this
disease?
Pancreas and liver
A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Sit the child upright and apply pressure to the sides of the nose.
Wheezing in children is best heard:
as the child exhales.
The nurse identifies a nursing diagnosis of Ineffective airway clearance related to inflammation
and copious thick secretions. What action is the priority?
Suctioning secretions from the airway
A 4-year-old with bronchiolitis has been admitted to the hospital with respiratory compromise.
The father asks the nurse why the physician won't prescribe an antibiotic, "My child just keeps
getting worse." What is the best response by the nurse?
"Bronchiolitis is almost always caused by the respiratory syncytial virus (RSV).
Unfortunately, antibiotics don't work on viruses."
What is the No. 1 treatment for hypoxemia?
Oxygen
The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the
Emergency Department at 2 AM on a cold winter night to say that the child has awakened with a
,quizlet questions [2022].
barking cough and an elevated temperature; she seems blue around her mouth. The nurse would
most appropriately recommend what action to the caregiver?
"Bring the child to the emergency room immediately."
A caregiver calls the pediatrician's office and reports to the nurse that her 4-year-old, who was
fine the previous day, complained of a sore throat early in the morning and now has a
temperature of 102.6° F (39.2° C). The caregiver has tried to get the child to nap but the child
gets panicky, immediately sits back up, and leans forward with her mouth open and tongue out
when the caregiver encourages her to lie down. The nurse suspects the child has which
condition?
Epiglottitis
The nurse is teaching the caregivers of a child with cystic fibrosis. What is it most important for
the nurse to teach this family?
Encourage everyone in the family to use good hand-washing techniques.
The caregivers of an 8-year-old bring their child to the pediatrician and report that the child has
not had breathing problems before, but since taking up lacrosse the child has been coughing and
wheezing at the end of every practice and game. Their friend's child has often been hospitalized
for asthma; they are concerned that their child has a similar illness. The nurse knows that because
the problems seem to be directly related to exercise, it is likely that the child will be able to be
treated with:
a bronchodilator and mast cell stabilizers.
The nurse is reinforcing teaching with the parents of a 2-year-old who has cystic fibrosis
regarding medications. The nurse suggests that pancreatic enzymes may be given by which
method?
Sprinkled onto the food
The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child
has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the
staff nurse explains the cause of this symptom to be:
Chronic lack of oxygen
A 4-year-old girl has been admitted to the hospital with a diagnosis of pneumococcal pneumonia.
Her parents are extremely distraught over her condition and the fact she has not wanted to eat
anything for the past 2 days. Which nursing approach would be most important to take to help
alleviate the high anxiety level of these parents?
Allow the parents to remain with the child as much as possible.
After teaching the parents of an 8-year-old girl with asthma about common allergens their
child should avoid, the nurse determines that the parents need additional teaching when they
identify what as a common allergen for asthma?
Shellfish
, quizlet questions [2022].
The school nurse is caring for a 12-year-old boy with a bloody nose. Which action would be
most appropriate for the nurse to do?
Seat the child leaning forward and pinch the anterior portion of the nose closed.
Which factor is a trigger for a child with asthma?
Sweeping the floor
Marcy is 4 years old with cystic fibrosis. The nurse is trying to pick a method to teach Marcy a
good way to exercise her lungs. Which would be the developmentally correct strategy to help
Marcy?
Teach Marcy to blow bubbles.
The nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis.
Which laboratory/diagnostic tools would most likely be used to help determine the diagnosis of
this child?
Sweat sodium chloride test
A 7-year-old child has been scheduled for a tonsillectomy. What would be most important to
assess prior to surgery?
Bleeding and clotting time
The nursing diagnosis you anticipate that would best apply to a child with allergic rhinitis is:
pain related to sinus edema and headache.
A group of nursing students are reviewing information about variations in the anatomy of a
child's respiratory tract structures in comparison to adults. The students demonstrate an
understanding of the information when they describe the shape of the larynx as:
Funnel
A child with a suspected airway obstruction is brought to the emergency room. He produces a
harsh, strident sound on inspiration (stridor). Where is the obstruction likely to be located, based
on this information?
In the larynx
The nurse is caring for a 14-month-old boy with cystic fibrosis. Which sign of ineffective family
coping requires urgent intervention?
Compliance with therapy is diminished.
The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing.
The nurse will most likely include which teaching point if the child is suspected of having
asthma?
