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• 1.
A child experiencing an acute asthma attack presents to the emergency
department. Which of the following medications should a nurse prepare to administer to
the child as an intervention for an acute asthma attack?
o A.
Terbutaline (Brethine)
o B.
Beclomethasone dipropionate (QVAR)
o C.
Prednisone (Deltasone)
o D.
,Albuterol (Proventil)
Correct Answer
D. Albuterol (Proventil)
Explanation
Albuterol (Proventil) is a beta 2 adrenergic agonist that results in bronchodilation. It's
used in acute episodes of asthma. Terbutaline (brethine) is an oral, long-acting
medication used for long-term control of asthma. Beclomethasone diproppionate
(QVAR) is an inhaled glucocorticdoid used to prevent infllammation, suppress airway
mucus production, and promote responsiveness of beta 2 receptors in the bronchial
tree. Prednizone (Deltasone) is an oral medication used for 3 to 10 days following an
acute asthma attack.
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• 2.
If you suspect respiratory distress in a child, never leave them alone.
o A.
True
o B.
False
Correct Answer
A. True
Explanation
Changes may occur rapidly. NEVER EVER EVER leave them alone.
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2
• 3.
Which of the following are signs of airway obstruction/respiratory distress? Hypoxia is a
gimme. Check all boxes that apply:
o A.
,Diaphoresis
o B.
Tachypnea
o C.
Tachycardia
o D.
Restlessness
o E.
Increased PTT
o F.
Bradycardia
Correct Answer(s)
A. Diaphoresis
B. Tachypnea
C. Tachycardia
D. Restlessness
Explanation
TTDR Tachypnea, Tachycardia, Diaphoresis, Restlessness
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• 4.
Goal for a child with respiratory infection: "The child will exhibit adequate oxygenation
and ___________ airway. Keep O2 sats >92-93%
Correct Answer(s)
patent, PATENT, Patent
Explanation
The goal for a child with respiratory infection is to exhibit adequate oxygenation and
maintain a patent airway. This means that the airway should remain open and
unobstructed, allowing for proper airflow and oxygen exchange. It is important to keep
, the oxygen saturation levels above 92-93% to ensure sufficient oxygen supply to the
body.
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4
• 5.
A 5-year-old child is brought into the emergency department with drooling, strident
cough, and lethargy. Epiglottitis is suspected. The priority intervention for this child is to:
o A.
Take vital signs
o B.
Secure the child's airway
o C.
Visualize the child's throat with a tongue depressor
o D.
Obtain throat cultures
Correct Answer
B. Secure the child's airway
Explanation
The priority in treating epiglottitis is achieving a patent airway as quickly as possible.
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2
• 6.
An 8-month-old is admitted to the pediatric unit with a history of multiple respiratory
infections and suspected cystic fibrosis. Which symptom suggests cystic fibrosis?
o A.
Fatty Stools
o B.