NUR 425 Exam 3 Practice Questions and Correct Answers
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NUR 425
Why do children contract respiratory diseases more rapidly? there respiratory structure are in closer proximity
How do a child's eating behaviors relate to their ability to contract respiratory diseases? anatomical difference results in easier pulling of gunk into their ears
How is a baby's eusta...
NUR 425 Exam 3 Practice Questions and
Correct Answers
Why do children contract respiratory diseases more rapidly? ✅there respiratory
structure are in closer proximity
How do a child's eating behaviors relate to their ability to contract respiratory diseases?
✅anatomical difference results in easier pulling of gunk into their ears
How is a baby's eustachian tubes anatomically different than an adult's? ✅baby's are
shorter, wider, and straighter
Why is the anatomical difference between a baby's eustachian tube and an adult's a
problem? ✅the shorter, wider, straighter eucstachian tube is more difficult to drain
When assessing a baby's ear canal, what is the proper way to move the pinna?
✅down and back
At what age do you move the pinna down and back, when assessing the ear canal?
✅<3 years old
When assessing a pt who is 3+ years old, what is the proper way to move the pinna,
when assessing the ear canal? ✅up and back
At what age do you move the pinna up and back, when assessing the ear canal? ✅3+
years old
If a child is really struggling to breathe, where would retractions be seen?
✅suprasternal
What are important areas to focus on for a respiratory assessment? ✅-presence of
cough
-color
-level of activity
-breath sounds
-presence or absence of nasal flaring or grunting
What does a stridor indicate? ✅tracheal swelling
What breath sound is caused by tracheal swelling? ✅stridor
,What is the number one goal for a child in respiratory distress? ✅maintain airway and
gas exchange
What are interventions for maintaining a child's airway and gas exchange? ✅-monitor
child for and teach parents s/s of resp distress
-administer cool mist
-encourage fluids
-suction prn
-position with hob elevated
-maintain o2 therapy
-monitor o2 sats/abgs
-administer meds (specific to disease)
What is the number one intervention for maintain a child's airway and gas exchange?
✅position pt with hob elevated
What type of mist can be administered to a child to help maintain their airway and gas
exchange? ✅cool mist
When should a child be suctioned? ✅generally only if an endotracheal tube, and if
awake and child is having trouble excreting
What is the order of interventions for maintaining a child's airway and gas exchange?
✅1. Hob elevated
2. Administering meds (specific to disease)
3. Suction prn
What are goals for a child in respiratory distress? ✅-#1: maintain airway and gas
exchange
-reduce oxygen demands
-prevent dehydration
What are interventions to help reduce a child's oxygen demands? ✅-monitor temp q2-
4h
-provide for periods of rest
-administer antipyretics as ordered
-tepid sponge bath
How often should a child's temp be monitored, when they are in respiratory distress?
✅q2-4h
What are interventions to help prevent dehydration in children with respiratory distress?
✅-monitor for and teach parents s/s of dehydration
-encourage flds if tolerated
-maintain iv flds
,What should be educated to parents on what to best way to monitor fld status is?
✅weight
What are examples of diseases of the respiratory tract? ✅-otitis media without effusion
-acute otitis media
-otitis media with effusion
-croup
-laryngotrachealbronchitis
-epiglottitis
-bronchiolitis
-asthma
What is otitis media? ✅ear infection
What is an ear infection medically known as? ✅otitis media
What is an ear infection with fluid in the ear? ✅otitis media with effusion
What is otitis media with effusion? ✅ear infection with fluid in the ear
What is the inflammation of the middle ear and tympanic membrane? ✅otitis media
without effusion
What is otitis media without effusion? ✅ear infection: inflammation of the middle ear
and tympanic membrane
How does the tympanic membrane appear in a pt with otitis media without effusion?
✅erythema on inspection of tympanic membrane
If a child is receiving a routine physical exam, and the physician finds that his tympanic
membrane is red upon inspection, however the child has no compaints, what is the
child's diagnosis? ✅otitis media without effusion
What type of ear infection (otitis media) typically is asymptomatic? ✅otitis media
without effusion
What tx is given for otitis media without effusion? ✅none, this heals on its own
What type of ear infection (otitis media) does not need treatment, because it heals on its
own? ✅otitis media without effusion
What do painful ear infections indicate? ✅fluid behind the ear drum
, What is acute otitis media? ✅inflammation of the middle ear characterized by a rapid
and short onset of s/s
What is the inflammation of the middle ear that is characterized by a rapid and short
onset of s/s? ✅acute otitis media
What are assessment findings are related to acute otitis media, upon inspection? ✅full
and bulging, opaque tympanic membrane
What does a full and bulging, opaque tympanic membrane indicate? ✅acute otitis
media
What is the acute onset of ear pain, fever, purulent drainage if tympanic membrane is
perforated, irritability, anorexia, vomiting, diarrhea and hearing loss indicative of?
✅acute otitis media
What s/s are related to acute otitis media? ✅-acute onset of ear pain, fever, purulent
drainage if tympanic membrane is perforated, irritability, anorexia, vomiting, diarrhea,
and hearing loss
-full and bulging, opaque tympanic membrane upon inspection
-sticking objects in ear
-pulling at ear (12 months+)
If a 12 month old or older child is sticking stuff in their ears, what could this possibly
indicate? ✅acute otitis media
If a 12 month old or older child pulls at their ear constantly, what could this possibly
indicate? ✅acute otitis media
What is acute otitis media treated with? ✅antibiotics
What type of ear infection (otitis media) receives antibiotic treatment? ✅acute otitis
media
How does otitis media with effusion appear upon inspection? ✅full, bulging tympanic
membrane
What does a full, bulging tympanic membrane upon inspection indicate? ✅otitis media
with effusion
What is typically the only clinical symptoms associated with otitis media with effusion?
✅hearing loss
What type of otitis media is common with allergies? ✅otitis media with effusion
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