Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PEDS 2201/2262 > Ch. 32 (STUDY GUIDE) > Flashcards

Ch. 32 (STUDY GUIDE) Flashcards

1
Q

Group A beta-hemolytic streptococcus (GABHS) infection of the upper airway?

A

Strep throat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Determines the extent to which the pt’s serum will agglutinate sheep RBCs; used to DX infectious MONO (titer of 1:160 required for DX); rapid, sensitive, inexpensive, and easy to perform?

A

Heterophil antibody testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Barrel chest indicates?

A

Severe obstructive lung disease (CF, asthma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

An inflammation of the middle ear and mastoid; characterized by perforation and discharge (otorrhea) lasting up to 6 mo?

A

Chronic suppurative OM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Diaphragmatic differences in infants under 5 years of age?

A

Diaphragmatic abdominal breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Assesses the mobility of the tympanic membrane, using air transmission?

A

Pneumatic otoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When are respirations (ventilations) best to assess and best determined in a child/infant?

A

While sleeping or quietly awake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The test to assess mobility of the tympanic membrane using sound transmission?

A

Tympanometry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When should an infant be able to hold their head up?

A

4-5 mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

An acute viral infection with MAX effect at the bronchiolar level?

A

Respiratory syncytial virus (RSV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tachypnea often occurs with?

A

AnxietyElevated tempSevere anemiaMetabolic acidosisMAY be assoc. w/resp alkalosis d/t psychoneurosis and w/CNS disturbances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The type of pneumonia in which the inflammatory process is confined w/in the alveolar walls and the peribronchial and interlobular tissues?

A

Interstitial pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hyperpnea is assoc. with?

A

FeverSevere anemiaRespiratory alkalosis assoc. w/psychosisCNS disturbancesResp acidosis that accompanies DKA/diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

NEBU epinephrine; used in children with stridor at rest, retractions, acute epiglottitis, or difficulty breathing?

A

Racemic epinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Head bobbing in a sleeping or exhausted infant is a sign of ?

A

Dyspnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A sx complex characterized by hoarseness, a resonant cough described as “barking” of “brassy”, inspiratory stridor, and respiratory distress from swelling in the region of the larynx?

A

Croup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

COMMON causes of stridor?

A

CroupEpiglottitisFBTracheitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

An antiviral agent; the only specific therapy approved for hospitalized children with RSV?

A

Ribavirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Grunting in older children is frequently a sign of?

A

Pain, suggesting pneumonia or pleural involvement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

RSV monoclonal antibody; the only product available in the U.S. for prevention of RSV; administered monthly IM; used to prevent RSV in HIGH-RISK infants?

A

Palivizumab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

GRUNTING from an infant or newborn is a characteristic sign of?

A

Respiratory distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Inflammation of the large airways, frequently associated with an URI; primarily caused by VIRAL agents?

A

Tracheobronchitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What causes wheezing in infants?

A

Increased airway resistance and a compliant chest wall.Inflammatory mediators (histamines, leukotrienes, interleukins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. The largest percentage of respiratory tract infection in children are caused by?
A

Viruses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Older children often have wheezing because of?

A

A LRI as a result of inflammation, bronchospasm, and secretions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. The most likely reason that the respiratory tract infection rate increases drastically in the age range from 3 to 6 months is that the:
    a. infant’s exposure to pathogens is greatly increased during this time
    b. viral agents that are mild in older children are severe in infants
    c. maternal antibodies have disappeared and the infant’s own antibody production is immature.
    d. diameter of the airways is smaller in the infant than in the older child.
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Criteria for the presence of clubbing?

A

Angle > 160 degrees and decided curvature of the nail

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. A febrile seizure is least likely to be associated with:

A. fever in a 2 y/o child

B. a family HX of febrile seizures

C. fever in an 8 y/o child

D. all of the above

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. Of the following resp system structures, the one that does not distribute air is the:a. bronchialb. alveolusc. bronchusd. trachea
A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. Bobby is a child w/a respiratory disorder who needs BR but who is not cooperating. The RN’s best choice is to:

A. be sure his mother takes the advice seriously

B. allow him to play quietly on the floor

C. insist that he play quietly in bed

D. allow him to cry until he stays in bed

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. The general shape of the chest at birth is:a. relatively roundb. flattened from side to sidec. flattened from front to backd. the same shape as an adult’s
A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
  1. For an older child who can tolerate decongestants & who is having difficulty breathing through his stuffy nose, the RN should recommend:

A. dextromethorphan nose drops

B. phenylephrine nose drops

C. dextromethorphan cough squares

D. steroid nose drops

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
  1. The infant relies primarily on:a. mouth breathingb. intercostal muscles for breathingc. diaphragmatic abdominal breathingd. all of the above
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  1. Children w/nasopharyngitis may be treated with:

A. decongestants

B. antihistamines

C. expectorants

D. all of the above

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  1. Because of the position of the diaphragm in the newborn:a. there is additional abd dist from gas and fluid in the stomach.b. the diaphragm does not contract as forcefully as that of an older infant or child.c. diaphragmatic fatigue is uncommond. lung volume is increased
A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  1. The best technique to prevent spread of nasopharyngitis is:

A. prompt immunization

B. to avoid contact with infected persons

C. mist vaporization

D. to ensure adequate fluid intake

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  1. Which of the following is true in regard to the anatomy of an infant’s nasopharyngeal area?a. the glottis is deeping in infants than older childrenb. the laryngeal reflexes are weaker in infants than older childrenc. the epiglottis is longer and projects more posteriorly in infants than adults.d. the infant and youg child are both less susceptible than adults to edema formation in the nasopharyngeal region.
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
  1. Group A β-hemolytic streptococci infection is usually a:

A. serious infection of the upper airway

B. Common cause of pharyngitis in children over the age of 15 years.

C. brief illness that leaves the child at risk for serious sequelae.

D. disease of the heart, lungs, joints, & CNS.

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
  1. List four anatomic factors that significantly affect the development of respiratory disorders in infants.
A

Fewer # of alveoliSmaller size of alveoliMore shallow air sacksDecreased surface area for gas exchange

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
  1. The diagnosis of group A β-hemolytic streptococcus should be based on:

A. antibody responses

B. antistreptolysin O responses

C. CBC

D. throat culture

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
  1. The condition that is most likely to reduce the # of alveoli in the newborn is:a. maternal heroin useb. increased prolactinc. hyperthyroidismd. kyphoscoliosis
A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
  1. Offensive mouth odor, persistent dry cough, & a voice with a muffled nasal quality are commonly the result of:

A. pneumonia

B. otitis externa

C. tonsillitis

D. OM

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
  1. As a child grows, chest wall comopliance:a. increasesb. decreases
A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  1. An adenoidectomy would be contraindicated in a child:

A. with recurrent OM

B. with malignancy

C. with thrombocytopenia

D. under the age of 3 years

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  1. As the child grows, elastic recoil of the lungs:a. increasesb. decreases
A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  1. In the post-op period following a tonsillectomy, the child should be:

A. placed in Trendelenburg position

B. encouraged to C&DB

C. suctioned vigorously to clear the airway

D. observed for signs of hemorrhage

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  1. Relaxation of the bronchial smooth muscles occurs in response to:a. parasympathetic stimulationb. inhalation of irritating substancesc. sympathetic stimulationd. histamine release
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
  1. Pain meds for the child in the post-op period following a tonsillectomy should be administered:

A. PO at regular intervals

B. PO PRN

C. PR or IV at regular intervals

D. PR or IV PRN

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
  1. Room air (ambient air) consists of:a. 7% O2b. 21% O2c. 50% O2d. 79% O2
A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
  1. Of the following foods, the most appropriate to offer 1st to an alert child in the post-op period following a tonsillectomy would be:

A. ice cream

B. red gelatin

C. flavored ice pops

D. all of the above

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
  1. A child with anemia tends to be fatigued and breathe more rapidly, b/c the majority of O2 is carried through blood as:a. a solute dissolved in the plasma and the H2O of the RBCsb. bicarbonate and hydrogen ionsc. carbonic acidd. oxyhemoglobin
A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q
  1. In about half of all cases of infectious mono, there will be:

A. skin rash

B. OM

C. splenomegaly

D. FTT

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q
  1. In a child, cough may be absent in the early stages of:a. CFb. measlesc. pneumoniad. croup
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q
  1. DX of infectious mono is established when the:

A. RBC count is depressed

B. leukocyte count is depressed

C. heterophil agglutination test is positive

D. heterophil agglutination test is negative

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

A sign of dyspnea in the infant who is sleeping or exhausted?

A

Head bobbing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q
  1. Infectious mono is usually a:

A. disease complicated by pneumonitis & anemia.

B. self-limiting disease

C. disabling disease

D. difficult and prolonged disease

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Respirations are too deep?

A

Hyperpnea

30
Q
  1. Clinical manifestations of influenza usually include all of the following EXCEPT:

A. N/V

B. fever and chills

C. sore throat & dry mucous membranes

D. photophobia and myalgia

A

A

30
Q

Respirations are too shallow?

A

Hypopnea

31
Q
  1. The infant is predisposed to developing OM because the eustachian tubes:

A. lie in a relatively horizontal plane

B. have a limited amount of lymphoid tissue.

C. are long and narrow

D. are underdeveloped

A

A

31
Q

May be a complaint of older children; may be caused by disease of any of the chest structures?

A

Chest pain

32
Q
  1. List at least 5 complications of OM.
A

Tympanic membrane retraction Tympanosclerosis Tympanic perforation Adhesive OM Chronic suppurative OM Labyrinthitits Mastoiditis Meningitis Cholesteatoma

32
Q

May be referred to the base of the neck posteriorly and anteriorly or to the abdomen?

A

Diaphragmatic pleural irritation

33
Q
  1. The clinical manifestations of OM include:

A. purulent discharge in the external auditory canal.

B. clear discharge in the external auditory canal

C. enlarged axillary lymph nodes

D. enlarged cervical lymph nodes

A

D

33
Q

Significant finding in an infant; helps reduce resistance and maintain airway patency?

A

Nasal flaring

34
Q
  1. An abnormal otoscopic exam would reveal:

A. visible landmarks

B. a light reflex

C. Orange tympanic membrane

D. mobile tympanic membrane

A

C

34
Q

Proliferation of tissue at the terminal phalanges; associated with chronic hypoxia; does NOT reflect disease progression?

A

Clubbing

35
Q
  1. A strategy for the prevention of strep disease would be for the RN to recommend that children w/strep infection: A. not return to school until after 48hr of abx TX B. discard & replace toothbrush after 24hr of abx TX C. not return to school until after 36hr of abx TX D. discard & replace toothbrush as soon as the streptococcus is identified
A

B

35
Q

Frequently associated with hypertrophied adenoidal tissue, choanal obstruction, polysps, or foreign body in the nasal passages?

A

Noisy breathing

36
Q
  1. ABX most likely to be prescribed for uncomplicated OM?
A

Amoxicillin

36
Q

Usually localized over the affected area and aggravated by respiratory movement?

A

Parietal pleural pain

37
Q
  1. To help alleviate the discomfort & fever of OM, the nurse may administer:

A. acetaminophen or ibuprofen

B. antihistamines and decongestants

C. analgesic ear drops

D. all of the above

A

A

37
Q

Frequently a sign of chest pain; suggests acute pneumonia, pleural involvement, pulmonary edema, or respiratory distress syndrome; increases end-respiratory pressure and prolongs gas exchange?

A

Grunting

38
Q
  1. Children with tympanostomy tubes should:

A. swim only in freshwater lakes w/o earplugs

B. keep bath water out of the ear

C. notify Dr. immediately if a grommet appears

D. never allow any water to enter their ears

A

B

38
Q

Performed to assess adequacy of collateral circulation?

A

Allen test

39
Q
  1. Most children with croup syndromes:

A. require hospitalization

B. will need to be intubated

C. can be cared for at home

D. are over 6 years old

A

C

39
Q

HgB saturated with O2?

A

Oxyhemoglobin

40
Q
  1. Of the following croup syndromes, the one that is potentially life-threatening is:

A. spasmodic croup

B. laryngotracheobronchitis

C. acute spasmodic laryngitis

D. epiglottitis

A

D

40
Q

A noninvasive method of continuously monitoring partial pressure of O2 in arterial blood; may also be used to measure CO2?

A

Transcutaneous monitoring

41
Q
  1. The RN should suspect epiglottitis if the child has:

A. cough, sore throat, and agitation

B. cough, drooling, and retractions

C. drooling, agitation, and absence of cough

D. hoarseness, retractions, and absence of cough

A

C

41
Q

HgB capable of carrying O2?

A

Functional HgB

42
Q
  1. If a child is suspected of having epiglottitis, the nurse should:

A. have intubation equipment available

B. prepare to immunize the child for H. influenzae.

C. obtain a throat culture

D. all of the above.

A

A

42
Q

HgB that is not saturated with O2?

A

Deoxyhemoglobin

43
Q
  1. Since the advent of immunization for H. influenzae, there has been a decrease in the incidence of:

A. laryngotracheobronchitis

B. epiglottitis

C. Reye syndrome

D. croup syndrome

A

B

43
Q

Reduced blood oxygenation?

A

Hypoxemia

44
Q
  1. Of the following children, the one who is most likely to be hospitalized for TX of croup is:

A. a 2 y/o whose croupy cough worsens @ night

B. a 5 y/o whose croupy cough worsens @ night

C. a 2 y/o using the accessory muscles to breath

D. a child w/inspiratory stridor during physical exam

A

A

44
Q

A hazard of O2 therapy; may occur in persons with chronic pulmonary disease; seldom encountered in children except those with CF?

A

Oxygen-induced CO2 narcosis

45
Q
  1. The primary therapeutic regimen for croup usually includes:

A. vigilant assessment, racemic epinephrine, & corticosteroids.

B. vigilant assessment, racemic epinephrine, & abx.

C. intubation, racemic epinephrine, & corticosteroids.

D. intubation, racemic epinephrine, & abx.

A

A

45
Q

Examples: Passy-Muir, Kistner, and Tucker; not appropriate for use in seriously ill children, children using a trach cuff, or children with copious secretions?

A

Speaking valves

46
Q
  1. The condition that is most likely to require intubation is:

A. acute spasmodic laryngitis

B. bacterial tracheitis

C. acute laryngotracheobronchitis

D. acute laryngitis

A

B

46
Q

Used to help move secretions toward the head during exhalation?

A

Vibration

47
Q
  1. RSV is:

A. an uncommon virus that usually causes bronchiolitis.

B. an uncommon virus that usually does not require hospitalization.

C. a common virus that usually causes severe bronchiolitis.

D. a common virus that usually does NOT require hospitalization.

A

D

47
Q

A new type of MDI that does NOT require a spacer device?

A

Rotahaler or Turbuhaler

48
Q
  1. In the infant who is admitted with possible RSV, the RN would expect the lab to perform:

A. the ELISA antibody test on nasal secretions

B. a viral culture of the stool.

C. a bacterial culture of nasal secretions.

D. an anaerobic culture of the blood.

A

A

48
Q

A form of CPB; provides both pulmonary and cardiac support?

A

ECMO

49
Q
  1. Nursing care for pts with severe acute respiratory syndrome predominantly involves:

A. ABX

B. antivirals

C. supportive care

D. steroids

A

C

49
Q

Techniques that are useful with older motivated children with kyphoscoliosis, CF, asthma, or bronchiectasis?

A

Breathing and postural exercises

50
Q
  1. What is the most common cause of pneumonia in EACH of the following age groups:
  2. ) Over 5 years of age
  3. ) 3 months to 5 years old
  4. ) Under 3 months
A

1.) M. pneumoniae 2.) H. influenzae 3.) Streptococcus pneumoniae

50
Q

The method of O2 administration that is BEST tolerated by infants?

A

O2 hood

51
Q
  1. Closed chest drainage is most likely to be used with the type of pneumonia that is caused by:

A. H. influenzae

B. M. pneumoniae

C. S. pneumoniae

D. Staphylococcus pneumoniae

A

D

51
Q

A generic term for devices that use a rapid cycling rate and deliver small tidal volumes with each cycle?

A

High-frequency ventilation

52
Q

Two of the more serious sequelae of strep throat?

A

Acute Rheumatic Fever AGN

52
Q

A method of O2 administration that is NOT usually well tolerated by children?

A

Oxygen mask

53
Q

Absence of airflow (or absence of breathing that lasts for more than 20 seconds?)

A

Apnea

54
Q

Occurs in 2 conditions: (1) when there is increased work of breathing with near-normal gas exchange function, and (2) when hypoxemia and acidosis develop secondary to CO2 retention?

A

Respiratory insufficiency

55
Q

Absence of air flow that occurs when no respiratory efforts are present?

A

Central apnea

56
Q

Condition in which components of central and obstructive apnea are present?

A

Mixed apnea

57
Q

The cessation of respiration?

A

Respiratory Arrest

58
Q

Disease involving increased resistance to airflow?

A

Obstructive lung disease

59
Q

Disease involving impaired lung expansion?

A

Restrictive lung disease

60
Q

May be caused by cerebral trauma, intracranial tumors, CNS infection, tetanus?

A

Respiratory center depression

61
Q

Includes pulmonary edema, fibrosis, embolism?

A

Pulmonary diffusion defect

62
Q

Used to relieve FB obstruction in infants; involves hand placement over the spine b/w the shoulder blades?

A

Back blows

63
Q

Involves a series of nondiaphragmatic abdominal thrusts; recommended for children over 1 y/o?

A

Heimlich maneuver

64
Q
  1. When an infant’s digits are connected to a pulse ox, the part of the sensor that is placed on the top of the nail is called the:a. photodetectorb. microprocessorc. Light-emitting diode (LED)d. electrode
A

C

65
Q
  1. In children, O2-induced CO2 narcosis is encountered most frequently with:a. prematurityb. asthmac. CFd. congenital heart disease
A

C

66
Q
  1. For a child under 5 y/o who needs intermittent delivery of an aerosolized med, the nurse should consider using a:a. hand-held NEBUb. MDI with a spacer devicec. humidified mist tent with low-flow O2d. MDI w/o a spacer device
A

B

67
Q
  1. Postural drainage should be performed:a. before meals but after other respiratory therapyb. after meals but before other respiratory therapyc. before meals and before other respiratory therapyd. after meals and after other respiratory therapy
A

A

68
Q
  1. Which of the following pts is likely to benefit from CPT that includes forced expiration combined with postural drainage?a. pts with pneumoniab. uncomplicated surgical ptsc. pts with increased sputum productiond. all of the above
A

C

69
Q
  1. Chest percussion is being performed correctly if:a. it makes a slapping soundb. it is painfulc. a soft circular mask is usedd. it is performed over the rib cage & diaphragm
A

C

70
Q
  1. The BEST method to stimulate deep breathing in a child is to:a. have child cover mouth & suppress coughb. have child cough repeatedlyc. use games that extend expiratory time& pressured. leave some balloons at the bedside for the child to blow up
A

C

71
Q
  1. To avoid barotrauma when using the bag-valve-mask device, the nurse shoulda. use the type without a reservoirb. use the type with a pop-off valvec. use a low O2 concentrationd. hyperextend the infant’s neck
A

B

72
Q
  1. The MOST severe complication that can occur during intubation is:a. infectionb. sore throatc. laryngeal stenosisd. hypoxia
A

D

73
Q
  1. Of the following vacuum pressures, the MOST acceptable pressure to use to suction the trach of a child is:a. 30 mm hgb. 50 mm hgc. 70 mm hgd. 120 mm hg
A

C

74
Q
  1. For a trach dressing, it would be INCORRECT to use:a. DuoDERM CGFb. Allevyn dressingc. a wet 4X4 gauze pad cut into the needed shape.d. Hollister Restore
A

C

75
Q
  1. After the initial post-op change, the trach tube is usually changed:a. Weekly by the surgeonb. Weekly by the nurse or familyc. Monthly by the surgeond. Monthly by the nurse or family
A

B

76
Q
  1. A trach with a speaking valve:a. decreases secretionsb. decreases child’s sense of taste and smellc. limits gas exchanged. has no effect on the ability to swallow
A

A

77
Q
  1. Of the following strategies, the one that is LEAST likely to decrease the O2 demand of the child with respiratory distress is:a. maintain child’s body temp WNLb. place child in supine positionc. control paind. maintain a warm room temp
A

B

78
Q
  1. Cardiac arrest in the pediatric population is MOST often a result of:a. atherosclerosisb. congenital heart diseasec. prolonged hypoxiad. undiagnosed cardiac conditions
A

C

79
Q
  1. The nurse should place the bag-valve-mask over both the mouth & nose for individuals whose age is:a. birth to 1 yrb. 1 to 3 yrsc. birth to 3 yrsd. birth to 2 yrs
A

A

80
Q
  1. The brachial pulse is the preferred site to use to assess circulation in the:a. infantb. school-aged childc. adolescentd. adult
A

A

81
Q
  1. In a child who is conscious & choking, the RN should attempt to relieve the obstruction if the child:a. is making soundsb. has an effective coughc. has stridord. all of the above
A

C

82
Q

Increases CO and HR by blocking vagal stimulation in the heart?

A

Atropine

83
Q

The first choice for V-Tach that is refractory to defibrillation is ?

A

Amiodarone

84
Q

Used for hypermagnesemia; needed for normal cardiac contractility?

A

Calcium chloride

85
Q

Causes vasoconstriction and increases CO?

A

Dopamine

86
Q

Used for ventricular dysrhythmias?

A

Lidocaine

87
Q

Acts on alpha and beta receptors, causing contraction, especially at the site of the heart, vascular, and other smooth muscle?

A

Epinephrine

88
Q

Administered rapidly; causes a temporary block through the AV node?

A

Adenosine

89
Q

Used to buffer the pH?

A

Sodium bicarbonate

90
Q

The Heimlich maneuver is recommended for children over the age of:a. 4 yrsb. 3 yrsc. 2 yrsd. 1 yr

A

D

PEDS 2201/2262 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions