Question 1

The nurse is caring for a school-age child with laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

Accepted Answer

A)   Administering an oral analgesic
B)   Urging the child to take oral fluids
C)   Teaching the child to take long, slow breaths
D)   Assisting with racemic epinephrine nebulizer therapyE) None of the above
F) B) and C)

Question 2

The nurse is caring for a preschool-age child with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?

Accepted Answer

A)   Healthy children rarely have more than one cold per year.
B)   Typically, the child will pull the ear when a cold is present.
C)   A cough that accompanies a cold should rarely be suppressed.
D)   An antibiotic is prescribed for children younger than 5 years of age.E) All of the above
F) None of the above

Question 3

A school-age child is scheduled for a tonsillectomy. What should the nurse assess prior to the surgery being done?

Accepted Answer

A)   Urine specific gravity
B)   Pulse and respiratory rate
C)   Bleeding and clotting time
D)   Lying and sitting blood pressureE) C) and D)
F) B) and C)

Question 4

The nurse is planning a community program for parents that focuses on the 2020 National Health Goals to reduce of respiratory illness in children. Which information should the nurse emphasize in this presentation? (Select all that apply.)

Accepted Answer

A)   Adhering to recommended immunizations
B)   Engaging in age-appropriate activity daily
C)   Importance of avoiding all cigarette smoking
D)   Ensuring an adequate dietary intake of calcium products
E)   Role of good hand washing to reduce transmission of diseaseF) C) and D)
G) B) and E)

Question 5

A school-age child with asthma is prescribed cromolyn sodium. What should the nurse include when teaching the child and the parents about this medication? (Select all that apply.)

Accepted Answer

A)   Use this medication with a metered-dose inhaler.
B)   Take this medication before an inhaled bronchodilator.
C)   Repeat doses of this medication until symptoms subside.
D)   This medication is to be used for an acute asthma attack.
E)   Wait 1 to 2 minutes between puffs when taking this medication.F) B) and E)
G) A) and B)

Question 6

The nurse is evaluating teaching provided to a school-age child and parents about the medication pancrelipase (Cotazym)  for cystic fibrosis. Which observation indicates that teaching has been effective?

Accepted Answer

A)   The child chews an enteric form of the medication.
B)   The child takes a dose before having an afternoon snack.
C)   The father tells the child that diarrhea is expected with this medication.
D)   The mother opens the capsule and some medication spills on the fingers.E) B) and C)
F) A) and B)

Question 7

A school-age child is diagnosed with streptococcal pharyngitis. What should the nurse teach the parents about the care that this child will need at home?

Accepted Answer

A)   Expect the lymph nodes to swell and obstruct the airway.
B)   Regular activity level should be encouraged as soon as possible.
C)   Be aware that the infection may spread and cause a tooth abscess.
D)   Complete the entire course of antibiotics to prevent rheumatic fever.E) A) and D)
F) A) and C) D

Question 8

While providing care, a school-age child develops epistaxis. What should the nurse do to help this patient?

Accepted Answer

A)   Turn the child's head to the side and press on the nasal ridge.
B)   Sit the child upright and apply pressure to the sides of the nose.
C)   Keep the child flat and apply pressure to the bridge of the nose.
D)   Elevate the head of the bed slightly and apply pressure to the forehead.E) None of the above
F) B) and C)

Question 9

The nurse is making a follow-up visit to the home of a family with a baby newly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child's care needs?

Accepted Answer

A)   Baby has gained weight.
B)   Baby's foul-smelling stool.
C)   Baby produces large stool twice a day.
D)   Baby appears flushed and is warm to touch.E) None of the above
F) A) and C)

Question 10

The nurse is concerned that a school-age child is developing pneumonia. What did the nurse most likely assess in this patient? (Select all that apply.)

Accepted Answer

A)   Rales
B)   Wheezing
C)   Elevated temperature
D)   Paroxysmal dry cough
E)   Productive harsh coughF) A) and B)
G) B) and C)

Question 11

The nurse is preparing discharge instructions for a school-age child with a tracheostomy. On what should the nurse focus when teaching the parents about the child's care needs at home? (Select all that apply.)

Accepted Answer

A)   Performing tracheostomy care
B)   Comfort level with suctioning procedure
C)   Eliminate the use of room freshener sprays to reduce tracheal irritation
D)   Importance of encouraging independence in the child as soon as possible
E)   Obtaining a spare tracheostomy tube and inserter in the event of accidental removalF) A) and B)
G) B) and C)

Question 12

A 3-year-old child is experiencing localized wheezing upon auscultation. Which statement by the mother would be most important for the nurse to report to the health care provider?

Accepted Answer

A)   The child was eating peanuts earlier in the day.
B)   The child eats hard candy as an afternoon treat.
C)   The child has two cousins who have many allergies.
D)   The child likes to play by himself for 15 minutes every afternoon.E) A) and B)
F) A) and C)

Question 13

The nurse is identifying nursing diagnosis appropriate for a child with pneumonia. Which diagnosis is the most applicable during the acute phase of the illness?

Accepted Answer

A)   Pain related to swelling of abdominal lymph nodes
B)   Altered urinary elimination related to hypervolemic state
C)   Excess fluid volume related to excessive mucus production
D)   Activity intolerance related to poor oxygen-carbon dioxide exchangeE) A) and B)
F) C) and D) D

Question 14

The nurse is assessing a school-age child with asthma. Which assessment finding indicates that this patient's asthma is well controlled?

Accepted Answer

A)   Dry mucous membranes
B)   Presence of a dry hacking cough
C)   Peak flow meter reading in the green zone
D)   Audible wheezes present over upper lobesE) None of the above
F) A) and D)

Question 15

The nurse is teaching a 14-year-old child on the proper use of a meter-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions? (Select all that apply.)

Accepted Answer

A)   Take two puffs at a time.
B)   Shake the canister before using.
C)   Wait 5 minutes between puffs.
D)   Hold the breath for 5 to 10 seconds.
E)   Activate the inhaler while taking a deep breath.F) A) and D)
G) B) and E) B, D, E

Exam 40: Nursing Care of a Family When a Child Has a Respiratory Disorder

The nurse is caring for a school-age child with laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

Correct Answer
verified

The nurse is caring for a preschool-age child with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?

Correct Answer
verified

A school-age child is scheduled for a tonsillectomy. What should the nurse assess prior to the surgery being done?

Correct Answer
verified

The nurse is planning a community program for parents that focuses on the 2020 National Health Goals to reduce of respiratory illness in children. Which information should the nurse emphasize in this presentation? (Select all that apply.)

Correct Answer
verified

A school-age child with asthma is prescribed cromolyn sodium. What should the nurse include when teaching the child and the parents about this medication? (Select all that apply.)

Correct Answer
verified

The nurse is evaluating teaching provided to a school-age child and parents about the medication pancrelipase (Cotazym) for cystic fibrosis. Which observation indicates that teaching has been effective?

Correct Answer
verified

A school-age child is diagnosed with streptococcal pharyngitis. What should the nurse teach the parents about the care that this child will need at home?

Correct Answer
verified
D

While providing care, a school-age child develops epistaxis. What should the nurse do to help this patient?

Correct Answer
verified

The nurse is making a follow-up visit to the home of a family with a baby newly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child's care needs?

Correct Answer
verified

The nurse is concerned that a school-age child is developing pneumonia. What did the nurse most likely assess in this patient? (Select all that apply.)

Correct Answer
verified

The nurse is preparing discharge instructions for a school-age child with a tracheostomy. On what should the nurse focus when teaching the parents about the child's care needs at home? (Select all that apply.)

Correct Answer
verified

A 3-year-old child is experiencing localized wheezing upon auscultation. Which statement by the mother would be most important for the nurse to report to the health care provider?

Correct Answer
verified

The nurse is identifying nursing diagnosis appropriate for a child with pneumonia. Which diagnosis is the most applicable during the acute phase of the illness?

Correct Answer
verified
D

The nurse is assessing a school-age child with asthma. Which assessment finding indicates that this patient's asthma is well controlled?

Correct Answer
verified

The nurse is teaching a 14-year-old child on the proper use of a meter-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions? (Select all that apply.)

Correct Answer
verified
B, D, E

Exam 40: Nursing Care of a Family When a Child Has a Respiratory Disorder

The nurse is caring for a school-age child with laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

Correct AnswerverifiedShow Answer

The nurse is caring for a preschool-age child with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?

Correct AnswerverifiedShow Answer

A school-age child is scheduled for a tonsillectomy. What should the nurse assess prior to the surgery being done?

Correct AnswerverifiedShow Answer

The nurse is planning a community program for parents that focuses on the 2020 National Health Goals to reduce of respiratory illness in children. Which information should the nurse emphasize in this presentation? (Select all that apply.)

Correct AnswerverifiedShow Answer

A school-age child with asthma is prescribed cromolyn sodium. What should the nurse include when teaching the child and the parents about this medication? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is evaluating teaching provided to a school-age child and parents about the medication pancrelipase (Cotazym) for cystic fibrosis. Which observation indicates that teaching has been effective?

Correct AnswerverifiedShow Answer

A school-age child is diagnosed with streptococcal pharyngitis. What should the nurse teach the parents about the care that this child will need at home?

Correct AnswerverifiedD

While providing care, a school-age child develops epistaxis. What should the nurse do to help this patient?

Correct AnswerverifiedShow Answer

The nurse is making a follow-up visit to the home of a family with a baby newly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child's care needs?

Correct AnswerverifiedShow Answer

The nurse is concerned that a school-age child is developing pneumonia. What did the nurse most likely assess in this patient? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is preparing discharge instructions for a school-age child with a tracheostomy. On what should the nurse focus when teaching the parents about the child's care needs at home? (Select all that apply.)

Correct AnswerverifiedShow Answer

A 3-year-old child is experiencing localized wheezing upon auscultation. Which statement by the mother would be most important for the nurse to report to the health care provider?

Correct AnswerverifiedShow Answer

The nurse is identifying nursing diagnosis appropriate for a child with pneumonia. Which diagnosis is the most applicable during the acute phase of the illness?

Correct AnswerverifiedD

The nurse is assessing a school-age child with asthma. Which assessment finding indicates that this patient's asthma is well controlled?

Correct AnswerverifiedShow Answer

The nurse is teaching a 14-year-old child on the proper use of a meter-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions? (Select all that apply.)

Correct AnswerverifiedB, D, E

Correct Answer
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D

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D

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B, D, E