Review Respiratory, Infection, Pain

A nurse is teaching a patient with asthma how to use a peak flow meter. Which of the following steps should the nurse include?

• • Exhale slowly into the peak flow meter

• Stand or sit upright and blow out as hard and fast as you can

• Record the average of three peak flow readings

• Use the meter only during asthma exacerbations

A patient has a peak flow reading of 60% of their personal best. Which action should the nurse recommend?

• Continue with daily medications as usual

• Administer rescue inhaler and monitor closely

• Seek immediate medical attention

• Wait to see if symptoms worsen before taking any action

A child with asthma is in the red zone of their peak flow meter. What is the first action the nurse should advise the family to take?

• Take long-acting bronchodilator

• Call emergency services immediately

• Administer rescue medication

• Drink plenty of fluids and rest

Which of the following infections is considered vector-borne?

• Mumps

• Lyme disease

• Measles

• Varicella

A 5-year-old child is admitted with RSV. Which symptom would the nurse expect to observe?

• Sudden high fever

• Clear runny nose and cough

• Cyanosis without coughing

• Barking cough

The nurse is caring for a child with cystic fibrosis. What dietary recommendations should the nurse provide?

• • Low-calorie, high-fiber diet

• • High-calorie, high-protein diet with fat-soluble vitamin supplements

• • Gluten-free diet

• • Low-sodium, low-fat diet

Which of the following interventions should be included for a child post-tonsillectomy?

• Encourage the child to cough and deep breathe

• • Offer citrus juices to help with hydration

• • Place the child in a side-lying position

• Monitor for signs of increased urination

What is the primary method to prevent the spread of infections in pediatric patients?

• • Use of antibiotics

• • Adequate immunization

• • Frequent handwashing

• • Wearing masks at all times

A nurse is caring for a neonate. Which physiological factor increases the neonate's risk for infection?

• Fully developed immune system

• Presence of maternal antibodies

• Decreased inflammatory response

• Low hemoglobin levels

What is the priority nursing intervention for a child with a fever?

• • Administer antibiotics

• • Provide fluids and monitor for dehydration

• • Place the child in warm clothing

• • Avoid giving antipyretics