Test 4 Pedi Flashcards
Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include which action?
Avoid using for more than 3 days.
Which is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
Give small amounts of favorite fluids frequently to prevent dehydration.
The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant displays which clinical manifestation?
Signs of an earache
A child is diagnosed with influenza, probably type A disease. Management includes which recommendation?
Amantadine hydrochloride (Symmetrel) to reduce symptoms
Chronic otitis media with effusion (OME) is differentiated from acute otitis media (AOM) because it is usually characterized by:
a feeling of fullness in the ear.
Parents have understood teaching about prevention of childhood otitis media if they make which statement?
“We will be sure to keep immunizations up to date.”
An infant’s parents ask the nurse about preventing OM. Which should be recommended?
Avoid tobacco smoke.
The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?
Complete obstruction
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside as much as possible. The nurse’s rationale for this action is described primarily in which statement?
The mother’s presence will reduce anxiety and ease child’s respiratory efforts.
A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis?
Bronchitis
Which frequency is recommended for childhood skin testing for tuberculosis (TB) using the Mantoux test?
Periodically for children who reside in high-prevalence regions
Which consideration is the most important in managing tuberculosis (TB) in children?
Pharmacotherapy
The mother of a toddler yells to the nurse, “Help! He is choking to death on his food.” The nurse determines that lifesaving measures are necessary based on which symptom?
Inability to speak
The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include:
monitoring pulse ox
The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation. Which is essential in this child’s care?
monitor arterial blood gases
A nurse is admitting an infant with asthma. The nurse understands that asthma in infants is usually triggered by:
a viral infection
A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma?
there is heightened airway reactivity
A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?
nonproductive cough, wheezing
Parents of two school-age children with asthma ask the nurse, “What sports can our children participate in?” The nurse should recommend which sport?
swimming
Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications?
If it is present in a child, both parents are carriers of this defective gene.
A nurse is teaching nursing students about clinical manifestations of cystic fibrosis (CF). Which is/are the earliest recognizable clinical manifestation(s) of CF?
meconium ileus
A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which tests should the nurse expect?
Sweat chloride test, stool for fat, chest radiograph films
Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?
sweat chloride test
A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered?
Before chest physiotherapy (CPT)
A child with cystic fibrosis (CF) is receiving recombinant human deoxyribonuclease (DNase). Which is an adverse effect of this medication?
voice alters
Pancreatic enzymes are administered to the child with cystic fibrosis (CF). Nursing considerations should include to:
pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind?
diet should be high in carbohydrates and protein
Cardiopulmonary resuscitation (CPR) is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible?
carotid
Effective lone-rescuer CPR on a 5-year-old child should include
two breaths to every 30 chest compressions
The heimlich maneuver is recommended for airway obstruction in children older than ___ year(s).
1
A nurse is teaching an adolescent how to use the peak expiratory flowmeter. The adolescent has understood the teaching if which statement is made?
“I will record the readings at the same time every day.”
A school-age child has been admitted with an acute asthma episode. The child is receiving oxygen by nasal prongs at 2 liters. How often should the nurse plan to monitor the child’s pulse oximetry status?
continuous
A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is HIV positive. Which induration size indicates a positive result for this child 48–72 hours after the test?
> /= 5mm
