Respiratory
When assessing a child removed from an oxygen tent, a nurse recognizes which of the following signs and symptoms as an early indication of hypoxemia?
Nasal flaring, retractions, grunting, tachypnea
A child experiencing an acute asthma attack presents to the emergency department. Which of the following medications should a nurse prepare to administer to the child as an interventions for an acute asthma attack?
ALBUTEROL
Think about side effects to explain to a child... "You heart may beat faster; you may feel shaky."
Which of the following best describes the stools of a child with cystic fibrosis?
Fatty and foul-smelling stools
A school-age child has been diagnosed with a Group A Strep infection of the throat and is prescribed amoxicillin. The parent asks the nurse when the child can return to school. Which is the nurse’s best response?
24 hours after the first dose of antibiotics.
Which of the following interventions is helpful for a child who is scratching varicella lesions?
Oatmeal baths and SHORTENED fingernails.
A nurse is caring for a child in the postoperative period following a tonsillectomy. When assessing the child, the nurse recognizes which of the following as signs and symptoms of postoperative bleeding?
Frequent swallowing and clearing of the throat
The nurse reviews the prescribed medications for a 8-month-old client with a viral croup syndrome. Which of the following prescriptions should the nurse clarify with the primary health care provider?
Aspirin as an antipyretic; Acetaminophen for pain; Dexamethasone for breathing/reduce inflammation; Ibuprofen for pain/fever
ASPIRIN because of risk of Reye's
Which of the following is an appropriate nursing intervention for a child with cystic fibrosis?
Administer pancreatic enzymes with food and snacks
The charge nurse is assisting a new graduate nurse in the care of a child hospitalized with respiratory syncytial virus (RSV). Which PPE by the new graduate nurse is indicated to wear when caring for a child with RSV?
Droplet and Contact Precautions PPE is required.
The new graduate nurse puts on a surgical mask, gown, and gloves before entering the room.
A child, aged 7, has been diagnosed with mononucleosis. She has symptoms of fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. All of the following interventions should be discussed by the nurse with this adolescent and her parents except for:
A. Take aspirin as needed for fever and discomfort
B. Drink plenty of fluids
C. Allow for periods of rest
D. Avoid participating in strenuous activities
Aspirin for fever/discomfort.
Which of the following nursing interventions should be included in the postoperative care for a child following a tonsillectomy?
Avoid red-colored liquids and milk-based foods initially
A nurse is providing instructions to the parents of a child that is prescribed a metered-dose inhaler (MDI) with a spacer to treat asthma. The parents request more information about using a spacer because their best friends' child uses one also. Which information should the nurse include in the instructions?
A spacer will help increase the amount of medications delivered to the lung tissue. It is a good idea to use one.
The nurse is caring for a 10-month-old infant with RSV bronchiolitis. All of the following interventions should be included in the child’s care except:
a. Encourage to drink 8 ounces of formula every 4 hours
b. Cluster care to encourage adequate rest
c. Place on noninvasive oxygen monitoring
d. Administer antibiotics
Administer antibiotics
The nurse is caring for a 7 yr old child admitted to the hospital with viral pneumonia. Which clinical finding(s) are the most PRIORITY? Select all that apply
A. Frequent, productive cough B. Fever relieved with antipyretic C. cyanosis around the mouth D. Nasal congestion E. Audible grunting
Cyanosis around the mouth (Circumoral)
Audible Grunting
-- SIGNS OF RESPIRATORY DISTRESS
A parent of a child with HIV is at risk for disease transmission in which of the following situations?
-Wiping tears
-Cleaning up after nose bleed
-Sharing finger food
Cleaning up after a nose bleed.
A pediatric respiratory disorder that is considered a medical emergency is
a. pharyngitis
b. bronchitis
c. bacterial epiglottitis
d. acute spasmodic laryngitis
c. bacterial epiglottitis (HIB vaccine makes the symptoms better)
sudden, sore throat, drooling, muffled voice, stridor, difficulty breathing; TRIPODING
Vaccinations for the 4 month old client should be given in what muscle? Also, what information should be given to parents regarding local site reactions/post vaccine effects?
It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent:
Acute rheumatic fever
(Group A strep- culprit)
A woman who is pregnant should avoid exposure to which of the following communicable diseases?
German Measles (Rubella)
MMR cannot be given in pregnancy and a rubella infection can cause many problems in utero leading to defects, hearing loss, blindness.
Which infectious disease presents with the slapped cheek rash?
Fifth's Disease
Bright red rash on cheeks; lacy rash throughout the body; from virus Parvo 19.
A child awakens during the night with a dry, barking cough, hoarseness, anxiety, and noisy inspiration. The child’s parents bring the child to the emergency department. When they arrive, the child’s symptoms have subsided. Which of the following home care instructions can the ED nurse provide to the family regarding future episodes the child may experience?
Expose the child to mist by running a hot shower
A child is prescribed acetaminophen 150mg elixir every 4-6 hours as needed. The amount available is acetaminophen 160mg/5 mL. How many mL should the nurse administer per dose? mL (If needed, round the answer to the nearest tenth.)
4.7 mL/dose
________________is a portable, handheld device that measures Peak Expiratory Flow (PEF), or the speed at which you can forcefully exhale air, helping people manage respiratory conditions like asthma by tracking lung function and warning of worsening symptoms before they become severe, often using a traffic light zone system (Green, Yellow, Red) for at-home monitoring
Peak Flow Meter
What assessment data is consistent with a primary varicella infection?
Fever, malaise, and rash with clear vesicles.
Incredibly itchy; vesicles must be crusted over before return to day care/school.
What can be indicative of Mumps infection?
(think head/face)
Parotid gland swelling