Gongoo Merk

Shake the device prior to use, rinse and expectorate after administration, inhale slowly with medication administration

A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include?

Ensure the proper placement of the sensor probe

A nurse caring for a child who is receiving oxygen therapy and is on continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?

Tachypnea

A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia?

Unconsciousness

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

Obtain vital signs prior to the procedure, tell the child to take slow deep breaths, determine if the child should use a mask, attach the device to an air source.

A nurse is caring for a child who is receiving bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take?

Administer humidified oxygen, suction the nasopharynx as needed

A nurse is caring for a child with bronchiolitis. Which of the following actions should the nurse take?

Oseltamivir should be given within 48 hr of manifestations

A nurse is teaching a group of guardians about influenza. Which of the following information should the nurse include in the teacing?

Frequent swallowing and clearing of the throat

A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding?

administer analgesics on a schedule

A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take?

Hoarseness and difficulty speaking, difficulty swallowing, drooling, stridor

A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect?

Wheezing, retraction of sternal muscles, nasal flaring

A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child’s respiratory status?

albuterol

A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise?

Place the child in an upright position, monitor oxygen saturation, administer bronchodilators

A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care?

Zero the meter before each use, perform three attempts

A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching?

Family history of asthma, family history of allergies, exposure to smoke, low birth weight

A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching?

Sweat chloride content 85 mEq/L

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis?

Tobramycin, fat-soluble vitamins, albuterol, dornase alfa

A nurse is admitting a child who has cystic fibrosis. Which of thhe following medications should the nurse expect to include in the plan of care?

Wheezing, clubbing of fingers and toes, barrel-shaped chest

A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect?

administer pancreatic enzymes with meals and snacks

A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following interventions should the nurse include?

Administer analgesics

A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?

attends day care 4 days per week, history of a cleft palate repair, parents smoke cigarettes outside

A nurse is caring for an infant who has manifestations of acute otitis media (AOM). Which of the following factors places the infat at risk for otitis media

Your child could experience transient hearing loss

a nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon assessment, it is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of the following statements should the nurse make?

Speech Delays

A nurse is caring for a toddler who has had three ear infections in the past 5 months. Which of the following long-term complications is the child at risk for developing?

rolling head side to side, loss of appetite, crying

A nurse is assessing an infant. Which of the following findings are clinical manifestations of acute otitis media?

Peripheral cyanosis, tachycardia, diaphoresis, restlessness

A nurse is caring for a child who is experiencing respiratory distress. Which of the following findings are early manifestations of respiratory distress?

Electroencephalogram, electrocardiogram, urine culture, blood culture

A nurse in the emergency department is admitting an infant who experienced a life-threatening event. Which of the following prescriptions by the provider should the nurse anticipate?

I will push on my child’s abdomen, I will listen over my child’s mouth for sounds of breathing

A nurse in a community center is providing an in-service to a group of parents on management of airway obstructions in toddlers. Which of the following responses by one of the caregivers indicates understanding?

Postoperative bleeding

On return to the pediatric unit following a tonsillectomy the nurse identifies that the 4yo patient is swallowing frequently. The nurse identifies that this is indicative of…

Facilitate utilization of nutrients

A 12yo child with cystic fibrosis is to receive 4 pancreas capsules five times a day. The nurse is aware that this medication is given with meals and snacks to:

infectious mononucleosis

The Epstein-Barr virus is responsible for which of the following?

bark-like cough, hoarseness, inspiratory stridor

The nurse is assessing a child with croup. Which of the following signs or symptoms would the nurse associate with croup and most expect to find?

“This medication should not be stopped abruptly”; “You will need to practice hand hygiene and avoid sick contacts due to an increased infection risk”; “This medication may cause weight gain with long term use.”

A nurse is planning discharge teaching for a newly diagnosed patient receiving prednisone for asthma. Medication instructions for this discharge teaching will include

Upright

A child is showing signs of acute respiratory distress. Which position will the nurse place this child?

Applesauce

The child who had a tonsillectomy earlier today is now awake and tolerating fluids. The child asks for something to eat. Which food choice is the most appropriate for this client?

Gently stimulate the trunk by patting or rubbing

What is an appropriate action when an infant becomes apneic?

restlessness

The nurse is caring for a child with a tracheostomy. What clinical manifestation should the nurse recognize as an early sign of impending respiratory distress or failure?

15:2

What is the compression to ventilation ratio for children if there are two health care providers available?

The mother’s presence will reduce anxiety and ease child’s respiratory efforts

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible. The nurse’s rational for this action is primarily which of the following?

Ineffective airway related to thickened secretions

All of the following are appropriate nursing diagnoses for a child with cystic fibrosis. Which has the highest priority?

Prevent RSV infection

An infant with a congenital heart defect is to receive a dose of palivizumab (Synagis). What is the purpose of this?

Before chest physiotherapy

A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered?

Blow a pinwheel

A 3-year-old female is admitted to the hospital with asthma. The nurse is trying to work with the child on breathing exercises to increase her expiratory phase. What should the pediatric nurse have the child do?

Nebulized hypertonic saline

Which of the following interventions is the most beneficial for a patient with broncholitis?

Patients with cystic fibrosis may be prescribed higher doses and longer courses of antibiotics

A student nurse questions the dose of an antibiotic for his patient with cystic fibrosis stating that based on his calculations with the patient’s weight, the dose is too high. What may be the reason for this high dosing?

Respiratory support and adequate fluid intake

A client is in treatment for Bronchiolitis, what is the priority nursing intervention for the patient?

Onset of expiratory grunting; Visible intercostal retractions with ventilations; Respiratory rate increased from 30 to 48 a minute

The nurse is concerned that a 9-month-old child is being treated for bronchiolitis caused by respiratory syncytial virus (RSV) is developing respiratory distress. Which assessment findings support this concern?

Sudden Infant Death Syndrome (SIDS)

The nurse is interviewing the parents of a 4-month-old boy brought to the hospital emergency department. The infant is dead, and no attempt at resuscitation is made. The parents state that the baby was found in his crib with a blanket over his head, lying face down in bloody fluid from his nose and mouth. The nurse might initially suspect his death was caused by what?

“It is important to give our child extra fluids".”

The nurse provides teaching to the parents of a child with bronchiolitis about care needed at home. Which statement by the parents indicates instructions have been effective?

Shorter and narrower airway; higher trachea; bronchial branching at different angles

The nurse educator is teaching a group of nursing students how to perform a respiratory assessment for a newborn in the newborn intensive care unit (NICU) diagnosed with respiratory distress syndrome (RDS). Which normal characteristics of the newborn’s respiratory system increase the risk for obstruction?

Take him to the emergency department tonight

The mother of a 20-month-old boy tells the on call nurse that he has a barking cough at night. His temperature is 38.5C or 101F. He is having trouble catching his breath, he is unable to drink water and is drooling a bit. He is also making a whistling sound when he breathes in. The nurse suspects croup or epiglottitis and should recommend which of the following?

Intercostal and suprasternal retractions

A nurse notes the skin pulling in around the infants ribs and above the sternum. This could be described as which of the following?

Cardiopulmonary resuscitation

Apnea of infancy has been diagnosed in an infant who will soon be discharged with home monitoring. Which of the following should the nurse include when teaching the parents about the infant’s care?

Apnea; Unresponsiveness; Bradycardia

Which of the following are signs of respiratory failure?

Notify provider while positioning patient upright

The nurse is caring for a school-aged child one day post tonsillectomy. One assessment, the nurse notes the child is restless, swallowing frequently, and heart rate is 125 bpm. Which of the following interventions should the nurse do next?

“I should administer two puffs of the medication immediately following my child’s soccer game.”

Which statement by the parent of a child with intermittent asthma using an albuterol metered-dose-inhaler leads the nurse to believe that further education is needed on medication administration?

Report any neonate with a breathing pause that lasts 20 seconds or longer

A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. Which instruction will the nurse give to the technician priori to assign care?

Mechanical obstruction caused by increased viscosity of mucous gland secretions

What is cystic fibrosis?

5 days

A parent is diagnosed with pertussis. How long must they stay in isolation after starting antibiotics?

Adjust and clean her pulse ox probe

A patient on the PEDS floor is on 3L nasal cannula for respiratory distress. Her pulse ox suddenly dips to 78%. On exam she is awake and alert and playful. What should you do first?

Prepare for intubation and mechanical ventilation

A patient is admitted to the pediatric intensive care in status asthmaticus. He is not moving air into his lungs and the pulse and the pulse oximetry reading is 57%. Respirations are 0, patient is cyanotic, and HR is 35. Which of the following is your priority?

Place the patient continuous cardio-respiratory monitoring; set up cool cool mist vaporizer using humidified air; administer corticosteroids as ordered by the physician; administer IV fluids as ordered by the physician; allow the parents to remain with the child to keep him calm

A nurse is on a med-surg unit receives report that his incoming patient has croup and presents with a barking cough, stridor, and increased work of breathing. The nurse should be prepared to do which of the following.

Inability to speak

The mother of a toddler tells to the nurse. “Help! He is choking to death on his food.” The nurse determines that lifesaving measures are necessary based on which of the following?

A nurse in an emergency department is caring for a child who is experiencing an acute asthma. Which of the following medications should the nurse expect to administer first?

Monitor oxygen saturation

A nurse is caring for a pre-school age child who has epiglottitis with a barking cough. Which of the following actions should the nurse take?

Asthma

A child is chronic cough and diffuse wheezing during the expiratory phase of respiration. This suggests which of the following?

about 1.5 inches

What is the correct compression depth for infants?

Bites of banana

The child who had a tonsillectomy earlier today is now awake and tolerating fluids. The child asks for something to eat. Which food choice is most appropriate for this client?

Infants have short eustachian tubes

A pediatric nurse explains to the infant’s mother that infants are high risk to develop otitis media due to

Trendelenburg

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal

Pancreatic enzymes are administered to the child with cystic fibrosis (CF). What nursing considerations should be included?

Performing the procedure independently

A nurse is caring for a client with tracheostomy. The client’s parent has been taught to perform suctioning. Which of the following actions by the parent should indicate to the nurse a readiness for the client’s discharge?

give in between meals

Pancreatic enzymes which one indicates need for further teaching?

avoid intimate contact and dont share foods and beverages until recovered.

Epstein bar virus (mono) teaching for teen?

Wash hands and avoid crowds

A parent asks about preventing RSV in a healthy infant?

Initiaite contact and droplet precautions; provide adequate rest; administer oxygen for oxygen saturation <90%; breastfeed

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which intervention would be included in the child’s care? Select all that apply.

RSV & retractions

There was also a case scenario that was a drop down and the answers were

Administration of antibiotics; cluster care to preserve energy; provide adequate hydration

Nursing care of the child with a bacterial pneumonia includes which interventions?