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Pediatric Nursing Care of the Child with an Alteration in Gas Exchange/Respiratory Disorder - ML6
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Pediatric Nursing Care of the Child with an Alteration in Gas Exchange/Respiratory Disorder - ML6
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Pediatric Nursing Care of the Child with anAlteration in Gas Exchange/Respiratory
Disorder - ML6
The child has been admitted to the hospital with a possible diagnosis of
pneumonia. Which finding(s) is consistent with this diagnosis? Select all
that apply.
Correct Answer -(1) The child's chest x-ray indicates the presence of
perihilar infiltrates.
(2) The child's white blood cell count is elevated.
(3) The child's respiratory rate is rapid.
(4) The child is producing yellow purulent sputum.
During an assessment, a child exhibits an audible high-pitched
inspiratory noise, a tripod stance and intercostal retractions. Using SBAR
communication, the nurse notifies the health care provider and states
which breath sounds that are congruent with the clinical presentation of
the child?
Correct Answer -Respiratory stridor
A client asks the nurse why a healthy newborn would be at risk for
hypoxemia. How should the nurse reply?
Correct Answer -"A newborn only has half of the number of alveoli
developed, placing the newborn at risk."
The nurse is caring for a 6-week-old with symptoms of irritability, nasal
stuffiness, difficulty drinking and occasional vomiting. Which assessment
finding produces important information regarding the medical and
, nursing treatment plan?
Correct Answer -Obtain testing for respiratory syncytial virus.
A community health nurse is conducting a parenting class on respiratory
syncytial virus (RSV). What statement made by a parent indicates that the
teaching has been successful?
Correct Answer -"Exposure to second- or third-hand smoke increases the
risk for developing RSV."
Which measure would be most effective in aiding bronchodilation in a
child with laryngotracheobronchitis?
Correct Answer -Assisting with racemic epinephrine nebulizer therapy
The nurse is taking a health history for a 3-year-old girl suspected of
having pneumonia who presents with a fever, chest pain, and cough.
Which information places the child at risk for pneumonia?
Correct Answer -The child attends day care.
Pancreatic enzymes are part of the treatment in cystic fibrosis. When
should the nurse administer the enzymes?
Correct Answer -Before meals and snacks with milk
The nurse has assessed a 6-year-old child as having respiratory distress
due to swelling of the epiglottis and surrounding structures. Which signs
and symptoms would support this assessment?
Correct Answer -The child is in tripod position.
The nurse is providing education to a client newly diagnosed with
asthma. Which statement by the parents indicates additional teaching is
needed?
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