1. Caring for an Infant Who Has an Acute or Infectious Respiratory Infection?
Assess for signs and symptoms of Nasal flaring, intercostal retractions,
tachypnea, and continuous stridor.
Nursing Care, Implement Isolation Precautions, Provide Humidity with cool
mist, Administer Oxygen, IV Fluids, Racemic Epinephrine, and Corticosteroids:
(dexamethasone, budesonide)
2. Identify Potential complications for an adolescent who has a respiratory
Illness ?
a. Pneumonia:
b. Bronchitis: hacking cough
c. Status asthmatics
d. Otitis media
e. Respiratory distress
3. Planning Discharge Teaching for an Infant Who Had a Cardiac
Catheterization
a. Fluid intake
b. Monitor site for infection
c. Keep dress clean and dry
4. Findings to Report to the Provider for a Child Who Has Cystic Fibrosis and
Pneumonia
a. Respiratory distress: increased difficulty breathing, retraction,
b. Hemoptysis
c.. Hight fever, secretion change in color
Nursing care- High-frequency chest compression BID
-High calorie, high protein, and an unrestricted fat diet
, -Initiate contact isolation
5. Planning Nursing Actions for an Infant Who Is Experiencing a Hypercyanotic
Spell
a. Place the child in knee-chest position
b. Calm the infant
c. provide oxygen therapy with a Non- rebreather Mask at high Flow
D. Initiate IV Access,
E. Administer Sub-Q Morphine, Intranasal fentanyl, Sodium Chloride 0.9% if
spell progresses
F. Call for help (Code Blue)
6. Contributing to the Plan of Care for an Adolescent Client Who Has Sickle
Cell
a. Rest
b. Hydration - oral or IV
c. Antibiotic
d. Pain pill
e. Warm packs
7. Anatomy of the Respiratory Tract of a Child Versus an Adult
a. Surfactant is lacking in preterm infants - respiratory distress syndrome
b. Retraction is common in child with respiratory problem
c. Diaphragm breathing are common in child
d. Airway diameter is smaller in child
8. Oxygen Therapy Guidelines
A. Pulse oximetry is used to monitor the effectiveness of inhalation therapies
B. oxygen saturation levels maintained above 95-100%
C. Oxygen can be delivered via nasal cannula, face mask, face tent, CPAP,
BiPAP, tent, hood, or mechanical ventilator.
D. Humidification of oxygen moistens the airways, which promotes loosening
and mobilization of pulmonary secretions and prevents drying and injury of
respiratory structures
E. Place the client in semi-Fowler's or Fowler's position to facilitate breathing
and to promote chest expansion
Assess for signs and symptoms of Nasal flaring, intercostal retractions,
tachypnea, and continuous stridor.
Nursing Care, Implement Isolation Precautions, Provide Humidity with cool
mist, Administer Oxygen, IV Fluids, Racemic Epinephrine, and Corticosteroids:
(dexamethasone, budesonide)
2. Identify Potential complications for an adolescent who has a respiratory
Illness ?
a. Pneumonia:
b. Bronchitis: hacking cough
c. Status asthmatics
d. Otitis media
e. Respiratory distress
3. Planning Discharge Teaching for an Infant Who Had a Cardiac
Catheterization
a. Fluid intake
b. Monitor site for infection
c. Keep dress clean and dry
4. Findings to Report to the Provider for a Child Who Has Cystic Fibrosis and
Pneumonia
a. Respiratory distress: increased difficulty breathing, retraction,
b. Hemoptysis
c.. Hight fever, secretion change in color
Nursing care- High-frequency chest compression BID
-High calorie, high protein, and an unrestricted fat diet
, -Initiate contact isolation
5. Planning Nursing Actions for an Infant Who Is Experiencing a Hypercyanotic
Spell
a. Place the child in knee-chest position
b. Calm the infant
c. provide oxygen therapy with a Non- rebreather Mask at high Flow
D. Initiate IV Access,
E. Administer Sub-Q Morphine, Intranasal fentanyl, Sodium Chloride 0.9% if
spell progresses
F. Call for help (Code Blue)
6. Contributing to the Plan of Care for an Adolescent Client Who Has Sickle
Cell
a. Rest
b. Hydration - oral or IV
c. Antibiotic
d. Pain pill
e. Warm packs
7. Anatomy of the Respiratory Tract of a Child Versus an Adult
a. Surfactant is lacking in preterm infants - respiratory distress syndrome
b. Retraction is common in child with respiratory problem
c. Diaphragm breathing are common in child
d. Airway diameter is smaller in child
8. Oxygen Therapy Guidelines
A. Pulse oximetry is used to monitor the effectiveness of inhalation therapies
B. oxygen saturation levels maintained above 95-100%
C. Oxygen can be delivered via nasal cannula, face mask, face tent, CPAP,
BiPAP, tent, hood, or mechanical ventilator.
D. Humidification of oxygen moistens the airways, which promotes loosening
and mobilization of pulmonary secretions and prevents drying and injury of
respiratory structures
E. Place the client in semi-Fowler's or Fowler's position to facilitate breathing
and to promote chest expansion
