Deck 11: Respiratory Disorders

Question 1

Identify one or more choices that best complete the statement or answer the question.
The nurse is caring for a newborn diagnosed with esophageal atresia and tracheoesophageal fistula. Which information does the nurse provide to the parents? Select all that apply.

A)Prenatal conditions that contribute to the problem
B)The manifestation supporting the diagnosis
C)Diagnostic tests performed since the birth
D)Methods of treating the condition
E)Actions for promoting recovery

Answer 1

The manifestation supporting the diagnosis
Diagnostic tests performed since the birth
Methods of treating the condition
Actions for promoting recovery

Question 2

The nurse in an acute care pediatric facility is preparing to assume care of multiple patients at the change of shift. Which patient will the nurse plan to assess first?

A)The toddler who exhibits clubbing of the fingertips
B)The preschooler with pneumonia who has poor skin turgor
C)The infant who can sleep only with the head of the bed elevated
D)The infant who prefers a tripod position instead of lying down

Answer 2

The infant who prefers a tripod position instead of lying down

Question 3

Identify one or more choices that best complete the statement or answer the question.
The nurse in a pediatric clinic is assessing a toddler brought in by a parent who states, "I have noticed some increasing incidents of coughing and wheezing over the last few weeks." Auscultation by the nurse reveals some adventitious breath sounds in the upper right lobe. Which questions does the nurse ask the parent? Select all that apply.

A)"Have you noticed any missing small toys?"
B)"How often is the child allowed to self-feed?"
C)"Is there an older child who gives this child food?"
D)"Can you recall a specific time of gagging or cyanosis?"
E)"Have you noticed any foreign objects in the child's stool?"

Answer 3

"Have you noticed any missing small toys?"
"Is there an older child who gives this child food?"
"Can you recall a specific time of gagging or cyanosis?"

Question 4

The nurse is providing care for an infant who is 2 months old. Which assessment finding will cause the nurse to suspect an upper respiratory infection?

A)A raspy cry and occasional cough
B)Adventitious lung sounds bilaterally
C)A stuffy nose and reddened eardrums
D)A fever, lethargy, and skin pallor

Question 5

The nurse in a pediatric clinic is assessing an infant who is 3 months old during a well-baby visit. Which assessment finding will be of greatest concern to the nurse?

A)The infant mouth breathes when crying.
B)The infant's eardrums are pink in color.
C)The infant exhibits 15-second periods of apnea.
D)The infant's respiratory rate is fast and irregular.

Question 6

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing postoperative teaching to the parents of a preschool child after a tonsillectomy. For which events does the nurse prompt the parents to contact the physician? Select all that apply.

A)The child keeps an emesis basin close by.
B)The child is frequently swallowing without food or fluids.
C)Bright red blood is noticed in the child's mouth.
D)The child is asking for ice chips and popsicles.
E)The child refuses pain pills because it hurts to swallow.

Question 7

A 6-year-old patient is being assessed by the pediatrician for breathing difficulties. The pediatrician expresses a need for diagnostic tests to identify or rule out asthma. Which tests does the nurse anticipate ordering?

A)Throat culture
B)Pulmonary function tests
C)Electrocardiogram
D)Peak flow meter

Question 8

The nurse in a pediatric clinic is performing assessments on multiple infants. Which infant does the nurse recognize as being at greatest risk for a respiratory disorder?

A)The infant born at 36 weeks who exhibited respiratory problems at birth
B)The infant who was born at term and recently adopted from another country
C)The infant who sleeps all night, exhibits eczema, and has a family history of asthma
D)The infant with recurrent sore throats and both pets and smokers in the house

Question 9

The parents of three children aged 4, 6, and 9 years are preparing to travel abroad as missionaries. The children are in good health and up to date for immunizations; however, the parents are concerned about the high level of TB in the area to which they are assigned. Which recommendation does the nurse make for the protection of the children?

A)Protect the children with good nutrition.
B)Have the children receive the BCG vaccine.
C)Arrange for monthly TB testing for the family.
D)Start the children on preventive medication.

Question 10

A toddler who is 2 years old is playing in the playroom at the hospital and suddenly begins to choke and cough. The nurse attending the toddler places the child in which position to dislodge a possibly inhaled object?

A)Head down and on the left side
B)Head down and on the right side
C)Head horizontal to the floor and supine
D)Head in a neutral position and prone

Question 11

The nurse on a pediatric acute care unit is providing care for an infant who is 11 months of age. The infant is diagnosed with a lower respiratory infection that produces large amounts of thick secretions the infant cannot cough up. When planning to suction the infant, which factor is important to remember?

A)The parents are likely to become angry about the procedure.
B)The infant will respond negatively to a temporary loss of breath.
C)The nurse should apologize after the procedure for stress related to the procedure.
D)The nurse should have assistance to immobilize the infant during the procedure.

Question 12

Identify one or more choices that best complete the statement or answer the question.
The nurse is conducting a class for parents of children with asthma. After covering the topic of asthma triggers, the nurse asks for feedback on the information. Which statements indicate the parents understand actions to reduce asthma triggers? Select all that apply.

A)"I think that we will need to stop using the fireplace."
B)"We will be rethinking the possibility of a family pet."
C)"Now may be the time for relocating to a warmer climate."
D)"No more going outside without a mask from now on."
E)"Reorganizing our schedules will definitely reduce stress."

Question 13

The nurse is providing care for a school-age patient who received a head injury while playing sports. Which initial assessment finding causes the nurse greatest concern?

A)Confusion and disorientation
B)Headache with periods of nausea
C)Immediate loss of consciousness
D)Changes in breathing and heart rates

Question 14

The nurse in the newborn unit of a pediatric hospital is providing care for a neonate born at 34 weeks' gestation. The nurse is aware that the immediate risk to the neonate is which condition?

A)A lack of a phospholipid in the alveoli
B)Inability to maintain body temperature
C)Delay in closure of cardiac foramen
D)A decrease in renal function

Question 15

The pediatric nurse is preparing a teaching plan for new mothers with small infants. Which is a key point for the nurse to include in the teaching plan?

A)Infants are obligatory mouth breathers for the first month.
B)All sinuses are formed and aerating within 2 months of birth.
C)Infants are abdominal breathers until they are 12 months old.
D)Infant airways get blocked more easily than those in older children.

Question 16

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing teaching to the parent of a toddler 2 years of age diagnosed with otitis media. The toddler presented with a fever of 100.9°F (38.3°C) and does not indicate symptoms related to pain. Which information does the nurse give the parent when the physician orders 48 to 72 hours of supportive care? Select all that apply.

A)Provide age-appropriate analgesics as needed.
B)Administer all of the prescribed antibiotic.
C)Support hydration with fluid increases.
D)Monitor temperature and report increases.
E)Apply topical steroid preparations as instructed.

Question 17

The nurse is interviewing an adolescent patient 17 years of age who was diagnosed with cystic fibrosis (CF) as an infant. The patient shares feelings of frustration about needing to always live with parents. Which information provided by the nurse is likely to be most important to the patient?

A)How chest physiotherapy (CPT) can be performed independently
B)The availability of home meal delivery to those needing a therapeutic diet
C)Organizations that will provide transportation for persons with chronic illness
D)A list of social organizations available for young persons who have special needs

Question 18

The nurse is providing care for an infant with an inner ear infection. The nurse is aware that the condition has occurred multiple times in a 3-month period. Which comment by the parent indicates to the nurse that specific teaching is needed regarding the incidences of infection?

A)"I now put her to bed with a bottle."
B)"I clean her ears with cotton swabs."
C)"She likes her ears submerged while bathing."
D)"Her older brother brings colds home from school."

Question 19

Parents bring a toddler who is 2-1/2 years old to the hospital because of observed difficulty with breathing. In addition, they share that at bedtime the toddler has a barky cough. The toddler is diagnosed with laryngotracheobronchitis, commonly referred to as croup. Which assessment finding does the nurse expect related to the diagnosis?

A)Fever accompanied by a congested cough
B)Inspiratory stridor heard in the upper airway
C)Elevated temperature and diaphoresis
D)Snoring sounds throughout respirations

Question 20

The pediatric nurse is reviewing anatomy and physiology in order to have a better understanding of the pediatric respiratory system. The nurse is aware that fluid in the chest cavity can be normal. Which application of this knowledge is correct?

A)Pleural fluid is abundant at birth and decreases over the lifetime.
B)Only enough fluid is present to promote painless movement.
C)Fluid will accumulate in the plural cavity from immobility.
D)Infections such as pneumonia cause fluid in the plural cavity.