Week 4 Respiratory

Question 1

Childs SaO2 expected range

Answer 1

95%-100%

Acceptable level: 91%-100%
Results less than 91% require intervention

Question 2

Nebulized aerosol therapy

Answer 2

Breaks up meds into minute particles then dispersed through respiratory track
For respiratory conditions
Treatment can take 10-15 min

Question 3

Metered dose inhaler dry power inhaler instructions.

Answer 3

Shake inhaler 5-6 times
Attach spacer
Hold inhaler with thumb near the mouth piece (index and middle fingers at top)
Take a deep breath, exhale
Tilt head back and while pressing inhaler take deep breath for 3-5 seconds
Hold breath for 5-10 seconds

Question 4

MDI client instructions

Answer 4

clean MDI and spacer after each use
Have child rinse out mouth and expectorate

Question 5

Chest physiotherapy indication

Answer 5

Thick secretions to clear an airway

Question 6

Chest physiotherapy contraindication

Answer 6

Decreased cardiac reserves
Pulmonary embolism
Increased intracranial pressure

Question 7

Tonsillitis

Answer 7

Viral or bacterial infection causing swelling of lymph tissue of nasal or oral pharynx
Difficulty swallowing and breathing.

Question 8

Tonsillitis interventions

Answer 8

Culture, Rest, Warm fluids , gargle warm salt water (viral)
Administer antibiotics (bacterial)

Question 9

Tonsillectomy post-op nursing actions

Answer 9

Assess airway and vital signs
Administer liquid analgesics and tetracaine lollipops
Provide an ice collar
Discourage coughing or blowing nose to protect surgical site, and avoid straws

notify provider is bright red bleeding occurs

Question 10

Hemorrhage client education: following tonsillectomy

Answer 10

Report
- frequent swallowing
- constant clearing of the throat
- restless
- bright red emesis
- tachycardia
- pallor