Deck 25: The Child with a Respiratory Disorder

Question 1

The parents of a 3-month-old infant with cystic fibrosis (CF)want to know how their child got this disease,because no one in either of their families has CF.What is the nurse's best response based on the understanding of CF?

A) Only one parent carries the CF gene.
B) Both parents are carriers of the CF gene.
C) The inheritance pattern is multifactorial.
D) The result is probably a genetic mutation.

Answer 1

Both parents are carriers of the CF gene.

Question 2

The nurse is caring for a toddler with acute laryngotracheobronchitis.Which assessment finding would indicate the child is experiencing increased respiratory obstruction?

A) Restlessness
B) Tachycardia
C) Brassy cough
D) Expiratory wheezing

Answer 2

Restlessness

Question 3

What classic sign would the nurse,auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?

A) Fine crackles
B) Coarse rhonchi
C) Expiratory wheezing
D) Decreased breath sounds at lung bases

Answer 3

Expiratory wheezing

Question 4

The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea.Which fluids are most appropriate?

A) Room temperature water
B) Carbonated beverages
C) Iced fruit juice
D) Cold milk

Question 5

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

A) Pancreatic enzymes
B) Water-soluble minerals
C) Fat-soluble vitamins
D) Salt supplements

Question 6

What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?

A) A popsicle
B) Chocolate milk
C) Orange juice
D) Cola drink

Question 7

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS).What significant information would the nurse include?

A) Wrapping the infant snugly for rest periods
B) Positioning the infant prone for sleep
C) Sitting the infant up in an infant seat
D) Placing infants on their backs or sides for sleep

Question 8

What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?

A) Offer plenty of fluids, particularly carbonated beverages.
B) Place the child in a humidified cool mist tent with oxygen.
C) Administer sedatives as ordered to decrease anxiety.
D) Position the child with arms resting on the overbed table.

Question 9

The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely.What does the nurse recognize as the cause of these symptoms?

A) Severe asthma attack
B) Allergic response to theophylline
C) Onset of bronchitis
D) Drug toxicity

Question 10

An infant is hospitalized with RSV bronchiolitis.What is the priority nursing diagnosis?

A) Fatigue related to increased work of breathing
B) Ineffective breathing pattern related to airway inflammation and increased secretions
C) Risk for fluid volume deficit related to tachypnea and decreased oral intake
D) Fear and/or anxiety related to dyspnea and hospitalization

Question 11

How would the nurse advise a mother to clear the nostrils when her infant has a cold?

A) Clear the nasal passages after the infant has a feeding.
B) Use over-the-counter nose drops to clear passages.
C) Remove nasal secretions with a bulb syringe.
D) Instill saline nose drops after clearing away secretions.

Question 12

The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A).What might this indicate?

A) Bleeding from the surgical site
B) Pain at the incision area
C) Sore throat from postnasal drip
D) Potential vomiting

Question 13

Which statement indicates that the child's parents understand how to perform respiratory therapy?

A) "We do her postural drainage before the aerosol therapy."
B) "We give her respiratory treatments when she is coughing a lot."
C) "We give the aerosol followed by postural drainage before meals."
D) "She needs respiratory therapy every day when she has an infection."

Question 14

The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder.What does this prevent?

A) Discoloration of tooth enamel
B) Halitosis
C) Irritation of oral membranes
D) Candidiasis

Question 15

The nurse is caring for a 3-year-old who suffered a smoke inhalation injury.How long is this patient at the highest risk for pulmonary edema after exposure?

A) 2 hours
B) 4 hours
C) 18 hours
D) 72 hours

Question 16

What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?

A) Before exercise to prevent attacks
B) At the initial onset of the attack
C) During the attack to relieve symptoms
D) As often as 4 times a day

Question 17

When auscultating breath sounds of an infant with respiratory syncytial virus,which assessment would the nurse immediately report?

A) Respiration rate decrease from 40 to 32 breaths/min
B) Heart rate decrease from 110 to 100 beats/min
C) "Quiet chest" from previous assessment of wheezing
D) Oxygen saturation of 90%

Question 18

Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?

A) Take the child outside in the cool air.
B) Bring the child directly to the emergency department.
C) Take the child to the bathroom and turn on a hot shower.
D) Have the child drink plenty of fluids.

Question 19

Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?

A) Provide chest physiotherapy before meals every day.
B) Assess weight monthly.
C) Administer pancrease with protein food at mealtime.
D) Ensure high-protein, high-calorie diet.

Question 20

What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?

A) Acetaminophen and plenty of fluids
B) Oral penicillin for 10 days
C) Penicillin until his sore throat is gone
D) Streptococcus immunization

Question 21

The nurse describes the "allergic salute" as a cluster of what signs related to chronic allergy?

A) Mouth breathing
B) Transverse nasal crease
C) Dark circles under the eyes
D) Productive cough
E) Reddened conjunctiva

Question 22

The nurse reports which assessments that suggest a meconium ileus in a newborn?

A) Abdominal distention
B) Vomiting
C) Hiccoughing
D) Jaundice
E) Absence of stool

Question 23

After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications,the nurse explains that routine immunizations will need to be delayed for _______ months.

Question 24

A toddler must maintain bed rest for the diagnosis of pneumonia.What actions will the nurse implement?

A) Maintain strict bed rest.
B) Consider age.
C) Assess developmental level.
D) Implement light play activities.
E) Provide hypnotic medication as ordered.

Question 25

The school nurse suspects a first grade student has sinusitis.Which symptoms might lead the nurse to this suspicion?

A) Child reports tooth pain.
B) Severe wheezing is auscultated on inspiration.
C) Child reports, "I have had a cold for 2 weeks."
D) Nurse observes periorbital swelling.
E) Halitosis is present.
F) None of above

Question 26

The first child of a couple is being treated for bronchopulmonary dysplasia (BPD).They ask how to prevent this from happening with the child they are currently expecting.What will the nurse explain as the best way to prevent BPD?

A) Maternal intake of folic acid
B) Exercise
C) Prevention of preterm birth
D) Provision of oxygen therapy to the newborn

Question 27

Place the three stages of smoke inhalation injury in the correct order (first to last).Put a comma and space between each answer choice (a,b,c,d,etc.)

A) Bronchopneumonia
B) Pulmonary insufficiency
C) Pulmonary edema

Question 28

The nurse is caring for a 4-year-old child diagnosed with H.influenzae type B.Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis?

A) Harsh cough
B) Restlessness
C) Edematous epiglottis
D) Child insists on lying down
E) Drooling

Question 29

The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)?

A) Swimming
B) Gymnastics
C) Baseball
D) Cross-country skiing
E) Distance running

Question 30

The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.

Question 31

The nurse reviews Accolate and Zyflo,which are _______________ _______________; they are capable of blocking the inflammatory response as well as providing bronchodilation.

Question 32

What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include?

A) Inhale deeply through nose with mouth closed.
B) Make exhalation twice as long as inhalation.
C) Use medicated inhaler prior to performing breathing exercise.
D) Exhale through mouth as if whistling.
E) Exhale forcefully.

Question 33

What will the nurse discourage when providing education to parents of a child with asthma?

A) Stuffed toys
B) Pet ownership
C) Gymnastics
D) Basketball
E) Cotton blankets