Respiratory
The nurse is caring for a preschool-aged child diagnosed with acute otitis media. What is the priority intervention for the nurse caring for this patient?
Relieving pain
The nurse is teaching a school-age child about asthma medications. Which medication will the nurse teach to be used as needed for shortness of breath or before exercise to prevent dyspnea?
Albuterol
The nurse is assessing an infant, the mother reports the infant has not gained weight and is having foul smelling stools. What diagnosis would the nurse except the infant to have?
Cystic Fibrosis
A child is admitted to the hospital with asthma. What assessment findings would support this diagnosis?
Nonproductive cough, wheezing, chest tightness, dyspnea, coarse lung sounds
If severe: restlessness, anxiety, use of accessory muscles (retractions), low O2, Tripod position, inaudible breath sounds
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which finding is a manifestation of this postoperative complication?
Frequent swallowing and throat clearing
The nurse enters a room of a toddler who is in the crib. The side rail is down and the mother is sitting in the chair. What is a priority action for the nurse?
Raise the siderail of the crib and educate the mother about safety
The nurse is assessing a child's respiratory status and notes the child is anxious, sitting forward to breath, drooling and has stridor. The nurse understands the patient is showing signs of which respiratory issue?
Epiglottitis
Which of the following assessment findings indicate that a toddler is experiencing respiratory distress? (Select All That Apply)
A. Coughing
B. Respiratory rate of 45 breaths/min
C. Heart rate of 100 beats/min
D. Restlessness
E. Retractions
A, B, D, E
When communicating with the pediatric client, what techniques should the nurse use? Select all that apply.
A. Make communication developmentally appropriate
B. Always be truthful
C. Include play whenever possible
D. Stand above the child when talking so they know you are an authority figure
A, B, C
A child is admitted for treatment of an asthma attack. Which of the following indicates immediate intervention is needed?
A. Thin, copious mucous secretions
B. Productive cough
C. Intercostal retractions
D. Respiratory rate of 20 breaths/min
C. Intercostal retractions
A child has been diagnosed with streptococcal pharyngitis and has been put on antibiotics. What is a priority teaching for the parents?
Complete the entire course of the antibiotics as prescribed
A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media?
The eustachian tube is short, straight, and wide.
When is the best time to assess an infant's respiratory rate?
Worst time- when the infant is crying, makes the count inaccurate
The nurse is obtaining report on 4 patients on the pediatric unit. Which patient would the nurse assess first?
A. A toddler admitted with croup and is drinking and afebrile and playing in the crib
B. A teenager admitted with asthma and has respiratory rate of 25 and O2 of 91%
C. A preschool admitted with bronchitis in cool mist humidification and has a respiratory rate of 18
D. An infant admitted for a work up for RSV with a respiratory rate of 30 and pulse ox of 98%
B. The patient has an increased respiratory rate and has an O2 less than 92%
A nurse is caring for a pre-school age child who has croup. Which of the following normal assessment findings should the nurse expect?
Barky cough (seal like)