PEDS RESPIRATORY EXAM FULLY UPDATED WITH CORRECT QUESTIONS AND ANSWERS.

PEDS RESPIRATORY EXAM FULLY UPDATED
WITH CORRECT QUESTIONS AND ANSWERS.

Signsyaychildywithyasthmayisyinysevereyrespiratoryydistressy-yCORRECTyANSWER-
sweatsyprofuselyy
remainsysittingyuprighty
refusesytoylieydown

Ominousysignyindicatingyventilatoryyfailureyandyimminentyrespiratoryyarrestyinyaychi
ldywithyasthmay-yCORRECTyANSWER-
shortnessyofybreathywithyairymovementyinytheychestyrestrictedytoytheypointyofyabsent
ybreathysounds

suddenyriseyinyrespiratoryyrate

Thesey3ysignsyindicateythatytheychildyisytrulyychokingyandyrequiresyimmediateyaction
?y-yCORRECTyANSWER-cannotyspeak
becomesycyanoticy
collapses

Earlyysignsyofyimpendingyairwayyobstructionyinclude?y-yCORRECTyANSWER-
increasedypulseyandyrespiratoryyrate
substernal,ysuprasternal,yandyintercostalyretractions
flaringynares
increasedyrestlessness

Throatyinspectionsyinychildywithyepiglottitisyshouldybeyavoidedyunless?y-
yCORRECTyANSWER-

immediateyendotrachealyintubationycanybeyperformedyifyneeded

Threeyclinicalyobservationsythatyareypredictiveyofyepiglottitisyare?y-
yCORRECTyANSWER-absenceyofyspontaneousycough

presenceyofydroolingy
agitation

Adviseytheyfamilyytoyseekymedicalyevaluationyofyaychildywithymonoyifytheseymanifesta
tionsyoccur?y-yCORRECTyANSWER-breathingybecomesydifficult
severeyabdominalypainydevelopsy
soreythroatypainyisysoysevereythatytheychildyisyunableytoydrinkyliquids
respiratoryystridoryisyheard

Theymostyobviousyearlyysignyofybleedingyafteryaytonsillectomy?y-
yCORRECTyANSWER-continuousyswallowing

, 5yyearyoldybroughtytoytheyEDywithyabruptyonsetyofysoreythroat,ypainywithyswallowing
,yfever,yandysittingyuprightyandyforward.yWhatytoydoyexpectyisytheycause?ymostyappro
priateyinterventions?y-yCORRECTyANSWER-AcuteyEpiglottitis.
vitalysigns,ymedicalyhistory,yassessmentyofybreathysounds,yemergencyyairwayyequip
mentyreadilyyavailable

Anyimmediateyinterventionywhenyanyinfantychokesyonyaypieceyofyfoodywouldybeyto?y-
yCORRECTyANSWER-positionytheyinfantyinyayhead-down,yface-

downypositionyandyadministery5yquickyblowsybetweenytheyshoulderyblades

Becauseytheyabsorptionyofyfat-
solubleyvitaminsyisydecreasedyinychildrenywithyCF,ysupplementationyofywhichyvitami
nsyisynecessary?y-yCORRECTyANSWER-A,yD,yE,yK

parentyreportsythatyaychildywithyCFyhasydevelopedytachypnea,ytachycardia,ydyspnea,y
pallor,yandycyanosis.yTheynurseytellsytheyparentytoybringytheychildytoytheyclinicybecau
seytheseysymptomsysuggest?y-yCORRECTyANSWER-pneumothorax

CFymayyaffectysingularyorymultipleysystemsyofytheybody.yTheyprimaryyfactoryresponsi
bleyforypossibleymultipleyclinicalymanifestationsyis?y-yCORRECTyANSWER-
mechanicalyobstructionycausedybyyincreasedyviscosityyofymucousyglandysecretions

Oneyofytheygoalsyforychildrenywithyasthmayisytoypreventyrespiratoryyinfection.yWhy?y
-yCORRECTyANSWER-
Respiratoryyinfectionsycanytriggeryanyepisodeyoryaggravateyanyasthmaticystate

4yyearyoldyneedsyaymeterydoseyinhalerybutycantycoordinateybreathingytoyuseyityeffecti
vely.yNurseyshouldysuggest?y-yCORRECTyANSWER-spacer

Aychildywithyasthmayisyhavingyaypulmonaryyfunctionytest.yTheypurposeyofytheypeakye
xpiratoryyflowyrateyisyto?y-yCORRECTyANSWER-assessytheyseverityyofyasthma

AnyinfantywithyaycongenitalyheartydefectyisyreceivingyPalivizumab.yTheypurposeyofyth
isymedyisyto?y-yCORRECTyANSWER-preventyRSVyinfection

Motheryofyay20ymonthyoldytellsytheynurseythatyheyhasyaybarkingycoughyandyaytemp.yT
heynurseysuspectsycroupyandyshouldyrecommend?y-yCORRECTyANSWER-cool-
mistyvaporizeryatynightyandywatchingyforysignsyofydifficultyybreathing

Childyhasyayfroglikeycroak,yagitated,yandydrooling.ySheyinsistsyonysittingyup.yTheynurs
eyshould?y-yCORRECTyANSWER-
notifyyphysicianyimmediatelyyandybeypreparedytoyassistywithyintubation

Mostyimportantythingytoymonitoryforyafteryaychildyhasyaytonsillectomy?y-
yCORRECTyANSWER-continuousyswallowing