ATI: Oxygen Therapy

Question 1

What is oxygen?

Answer 1

oxygen is used to maintain adequate cellular oxygenation of many acute and chronic respiratory problems

Question 2

What are common treatment methods for children who have respiratory issue ( acute or chronic)

Answer 2

nebulized aerosol therapy, metered- dose inhaler (MDI), Dry powder inhaler, chest physiotherapy, oxygen therapy, suctioning and artificial airway

Question 3

Nebulized aerosol therapy

Answer 3

breaks up medication into minute particles that are then dispersed throughout the resp tract

Question 4

Metered Dose Inhaler or dry powder inhaler

Answer 4

handheld devices that allow children to self- adminster meds on an intermittent basis

Question 5

Complication of oxygen therapy ( Improper use)

Answer 5

Inhalation is too rapid
inability to coordinate inhalation with spray
not holding breath for adequate period

Question 6

How does fungal infections occur with Medication use?

Answer 6

oral cavity can occur with corticosteroid use
- assist pt with rinsing their mouth

Question 7

Why is chest physiotherapy used ?

Answer 7

it is used for thick secretion with the inability to clear the airway

Question 8

What are contraindication of chest physiotherapy

Answer 8

decreased cardiac reserves, pulmonary embolism, or increased intracranial pressure

Question 9

Apical section of the upper lobe

Answer 9

Fowlers position

Question 10

the posterior section of the upper lobe

Answer 10

sitting postiton with the child leaning forward curled over pillows

Question 11

anterior segment of both upper lobe

Answer 11

supine and rotated slightly away from side being drained

Question 12

superior segments of both lower lobes

Answer 12

prone with hips elevated on pillows

Question 13

What is oxygen therapy ?

Answer 13

oxygen therapy increases concetration of the air being breahte

Question 14

What is oxygen toxicity ?

Answer 14

oxygen that can result from high concentrations of oxygen, long duration of oxygen therapy and the childs degree of lungs disease.

Question 15

What are the manifestations of oxygen toxicity?

Answer 15

non-productive cough, substernal pain,nasal stuffiness,n/v, fatigue, headache, sore throat and hypoventilation

Question 16

What is an artificial airway?

Answer 16

a tracheotomy is a sterile surgical incison into the trachea through the skin and muscles for the purpose of establishing an airway.

Question 17

What is accidental decannulation?

Answer 17

occurs in the first 72 hours after surgery which is an emergency because the tracheostomy tract has not matured

Question 18

What are some acute and infectious illnesses prevalent in children?

Answer 18

tonsillitis,
nasopharyngitis.
croup syndrome. bacterial tracheitis, bronchitis,bronchiolitis, allergic rhinitis and pmeumonia

Question 19

function of the tonsils

Answer 19

helps protect against infections, because foreign material enters the mouth

Question 20

Which tonsils are removed during tonsillectomy

Answer 20

palatine tonsils ( located on both sides of the oropharynx

Question 21

which tonsils are removed during adenoidectomy

Answer 21

pharyngeal tonsils

Question 22

infants at what age are at increased risk for for common respiratory illnesses

Answer 22

3 and 6 months, due to decrease of maternal antibodies acquired at birth

Question 23

what is nasopharyngitis

Answer 23

also known as common cold that lasts 4 to 10 days

Question 24

what are the expected findings of nasopharyngitis?

Answer 24

nasal inflammation, dryness, fever , decreased appetite and restlessness

Question 25

What is Acute streptococcal pharyngitis

Answer 25

infection of the upper airway( Strep throat)
characterized by pharyngitis, headache, fever and abdominal pain

Question 26

What is bronchitis

Answer 26

upper resp infection of the large airways
- persistent dry , hacking cough as a result of inflammatiion
- resolves in 5 to 10 days

Question 27

what is allergic rhinitis?

Answer 27

caused by seasonal allergens most often in the autumn or spring
expected finding: watery rhinorrhea , itchiness of the eyes pharynx, conjunctiva,
snoring,fatigue, poor school performance

Question 28

pneumothorax

Answer 28

accumulation of air in the pleural spaces
manifestation: Dyspena, chest pain , back pain, labored resp, decrease o2

Question 29

pleural effusion

Answer 29

accumulation of fluid in the pleural space
Nursing action: prepare the client for an emergent needle apirtation to remove the fluid in the pleural space, with insertion of a chest tube to close drainaige

Question 30

when do infants’ posterior fontanels close?

Answer 30

6-8 weeks

Question 31

When do infants anterior fontanels closes?

Answer 31

12-18 months

Question 32

What does head circumference determine

Answer 32

brain growth