Respiratory Disorders in Children

Multiple Choice

A nurse in the ER is caring for a new admit infant. Which of the following findings is an early indication of hypoxemia?

• Nonproductive cough

• Hypoventilation

• Tachypnea

• Nasal stuffiness

Multiple Select

A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status (Select all that apply).

• oxygen saturation of 95%

• Wheezing

• Retraction of sternal muscles

• Warm extremities

• Nasal flaring

Multiple Choice

A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise?

• Fluticasone/salmeterol

• Montelukast

• Prednisone

• Albuterol

Multiple Choice

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis?

• Sweat chloride content 85 mEq/L

• Increased blood levels of fat soluble vitamins

• 72 hr. stool analysis showing hard. packed stools

• Chest x-ray negative for atelectasis

Multiple Choice

A nurse is providing discharge instructions for a child with CF. Which of the following instructions should the nurse include?

• Low calorie, low protein diet

• Administer pancreatic enzymes with meals/snacks

• Implement fluid restriction during times of infection

• Restrict physical activity

Multiple Select

A nurse is assessing a client who has pertussis. Which of the following should the nurse expect? (select all that apply)

• Runny nose

• Mild fever

• Cough with whooping sound

• Swollen salivary glands

• Red rash

Multiple Select

A nurse is caring for a child with bronchiolitis. Which of the following actions should the nurse take? (Select all that apply)

• Administer oral prednisone

• Initiate chest percussion

• Administer humidified oxygen

• Suction nasopharynx as needed

• Administer oral penicillin

Multiple Choice

A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding?

• hgb 11.6 & hct 37%

• Inflamed and reddened throat

• Frequent swallowing or clearing of throat

• Blood-tinged mucus

Multiple Select

A nurse is assessing a child with epiglottis. Which of the following findings should the nurse expect? (select all that apply)

• Hoarseness and difficulty speaking

• Difficulty swallowing

• Low grade fever

• Drooling

• Dry, barking cough

Multiple Choice

The nurse caring for clients on a pediatric unit. Which client should the nurse assess first?

• 2 yr old with an axillary temperature of 99F

• 4 yr old with an apical pulse of 119 beats per minute

• 10 yr old with respiration rate of 20 breaths per minute

• 16 yr old with a blood pressure of 160/92 in the right arm