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WorksheetsNursing Care of the Child Respiratory
Total questions: 11
Worksheet time: 7mins
A 12-year-old child is in the urgent care clinic with a complaint of fever, headache, and sore throat. A diagnosis of group A β-hemolytic streptococcus (GABHS) pharyngitis is established with a rapid-strep test, and oral penicillin is prescribed. The nurse knows that which of the following statements about GABHS is correct?
Children with a GABHS infection are less likely to contract the illness again after the antibiotic regimen is completed.
A follow-up throat culture is recommended after the completion of antibiotic therapy.
Children with a GABHS infection are at increased risk for the development of rheumatic fever and glomerulonephritis.
Children with a GABHS infection are at increased risk for the development of rheumatoid arthritis in adulthood.
A 5-year-old is recovering from a tonsillectomy and adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following? Select all that apply.
A. Observe the child for continuous swallowing.
Encourage the child to take sips of cool, clear liquids.
Administer codeine elixir as necessary for throat pain.
Observe the child for restlessness or difficulty breathing.
Administer an analgesic such as acetaminophen for pain.
The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child, who has cystic fibrosis. What would the nurse include in the instructions for performing percussion?
Strike the chest wall with a flat-hand position.
Percuss before and after positioning for postural drainage.
Percuss over the entire trunk anteriorly and posteriorly.
Cover the skin with a shirt or gown before percussing
When caring for a child after a tonsillectomy, what intervention should the nurse do?
Watch for continuous swallowing
Encourage gargling to reduce discomfort.
Apply warm compresses to the throat.
Position the child on the back for sleeping.
A 4-year-old girl is brought to the emergency department. She has a “froglike” croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should intervene in which manner?
Make her lie down and rest quietly.
Examine her oral pharynx and report to the physician.
Auscultate her lungs and prepare for placement in a mist tent.
Notify the physician immediately and be prepared to assist with intubation
An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?
Reverse isolation
Airborne isolation
Contact Precautions
Standard Precautions
What drug is usually given first in the emergency treatment of an acute, severe asthma episode in a young child?
Ephedrine
Theophylline
Aminophylline
Short-acting β2-agonists
What tests aid in the diagnosis of cystic fibrosis (CF)?
Sweat test, stool for fat, chest radiography
Sweat test, bronchoscopy, duodenal fluid analysis
Sweat test, stool for trypsin, biopsy of intestinal mucosa
Stool for fat, gastric contents for hydrochloride, radiography
A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered?
After chest physiotherapy (CPT)
Before chest physiotherapy (CPT)
After receiving 100% oxygen
Before receiving 100% oxygen
The nurse is caring for a 1-month-old infant with respiratory syncytial virus (RSV) who is receiving 23% oxygen via a plastic hood. The child’s SaO2 saturation is 88%, respiratory rate is 45 breaths/min, and pulse is 140 beats/min. Based on these assessments, what action should the nurse take?
Withhold feedings.
Notify the health care provider
Put the infant in an infant seat.
Keep the infant in the plastic hood.
The nurse is caring for a newborn with suspected congenital diaphragmatic hernia. What of the following findings would the nurse expect to observe? (Select all that apply.)
Loud, harsh murmur
Scaphoid abdomen
Poor peripheral pulses
Mediastinal shift
Moderate respiratory distress
