NR 602 Quiz 3 Study Guide
Chamberlain College of Nursing, Course Code: NR 602, Course Title:
Primary Care of the Childbearing and Childrearing Family
, Respiratory Infections
- Leading cause of morbidity and mortality in children
- Respiratory failure can develop rapidly with ominous symptoms
- Be able to recognize key respiratory sounds
o Croup cough vs. other coughs *Sound bit croup cough: see link under Croup*
o Inspiratory stridor *Sound bit: (https://www.easyauscultation.com/heart-lung-
sounds- details/140/Stridor)
o Wheezing * Sound bit: (https://www.easyauscultation.com/heart-lung-sounds-
details/71/Wheeze)
- Critical Sign: Tachypnea!
o Respiratory Rates:
▪ Infants (birth to 12 months): 30-53 bpm (RR > 60 requires further evaluation)
▪ Toddlers (1-2 yrs): 22-37 bpm (RR > 40 requires further evaluation)
▪ Preschool (3-5 yrs): 20-28 bpm
▪ School Age (6-9 yrs): 18-25 bpm
▪ Pre-Adolescent (10-11 yrs): 18-25 bpm
▪ Adolescent (12yrs and older): 12-20 bpm
o Red Flags: Tachypnea +
▪ grunting,
▪ nasal flaring,
▪ use of accessory muscles
- Upper Respiratory Infections are the most common (common cold)
o Most often Viral
▪ Rhinovirus, Parainfluenza, RSV, Coronavirus, human metapneumovirus
▪ Self-limiting lasting 7-10days
o Peak: Spring and Winter
o Common Sxs: (gradual onset)
▪ Low grade fever
▪ Nasal Congestion
▪ Sore throat, hoarseness
▪ *Hallmark: Rhinorrhea (clear at first, progresses to purulent)
▪ Cough/Sneezing
o Clinical Findings:
▪ Conjunctiva: mild injection
▪ Erythematous nasal mucosa with mucus
▪ Erythematous posterior oropharynx
▪ Anterior cervical lymphadenopathy
- Diagnostics:
o ONLY if in doubt of URI: sore throat without drainage or cough
▪ Rapid antigen detection test (RADT): rapid strep
▪ Throat culture if RADT negative
o Treatment: Supportive Care
▪ Hydration
▪ OTC antipyretics as directed (weight dose)
Chamberlain College of Nursing, Course Code: NR 602, Course Title:
Primary Care of the Childbearing and Childrearing Family
, Respiratory Infections
- Leading cause of morbidity and mortality in children
- Respiratory failure can develop rapidly with ominous symptoms
- Be able to recognize key respiratory sounds
o Croup cough vs. other coughs *Sound bit croup cough: see link under Croup*
o Inspiratory stridor *Sound bit: (https://www.easyauscultation.com/heart-lung-
sounds- details/140/Stridor)
o Wheezing * Sound bit: (https://www.easyauscultation.com/heart-lung-sounds-
details/71/Wheeze)
- Critical Sign: Tachypnea!
o Respiratory Rates:
▪ Infants (birth to 12 months): 30-53 bpm (RR > 60 requires further evaluation)
▪ Toddlers (1-2 yrs): 22-37 bpm (RR > 40 requires further evaluation)
▪ Preschool (3-5 yrs): 20-28 bpm
▪ School Age (6-9 yrs): 18-25 bpm
▪ Pre-Adolescent (10-11 yrs): 18-25 bpm
▪ Adolescent (12yrs and older): 12-20 bpm
o Red Flags: Tachypnea +
▪ grunting,
▪ nasal flaring,
▪ use of accessory muscles
- Upper Respiratory Infections are the most common (common cold)
o Most often Viral
▪ Rhinovirus, Parainfluenza, RSV, Coronavirus, human metapneumovirus
▪ Self-limiting lasting 7-10days
o Peak: Spring and Winter
o Common Sxs: (gradual onset)
▪ Low grade fever
▪ Nasal Congestion
▪ Sore throat, hoarseness
▪ *Hallmark: Rhinorrhea (clear at first, progresses to purulent)
▪ Cough/Sneezing
o Clinical Findings:
▪ Conjunctiva: mild injection
▪ Erythematous nasal mucosa with mucus
▪ Erythematous posterior oropharynx
▪ Anterior cervical lymphadenopathy
- Diagnostics:
o ONLY if in doubt of URI: sore throat without drainage or cough
▪ Rapid antigen detection test (RADT): rapid strep
▪ Throat culture if RADT negative
o Treatment: Supportive Care
▪ Hydration
▪ OTC antipyretics as directed (weight dose)
