NUR 336 Exam 2 STUDY GUIDE #2 Questions With
Complete Solutions
9-year-old girl diagnosed with cystic fibrosis what should the
nurse keep in mind when developing a care plan for this child:
pulmonary secretions are abnormally thick. Correct Answers
DO NOT give them Zyrtec or antihistamine medications to dry
up secretions.
A child who is post-tonsillectomy and is continually
swallowing, what might they be experiencing and what should
you assess? Correct Answers - Bleeding
- Assess for restlessness, frank red blood in mouth and nose, and
increased pulse rate.
ADHD: Describe hyperactive. (4) Correct Answers - Squirmy
or fidgety
- Run or climb inappropriately
- Talk excessively
- Interrupt or have difficulty waiting
ADHD: Describe inattentive. (4) Correct Answers - Appear to
not listen when spoken to
- Have difficult following through and completing tasks that
require sustained mental effort
- Frequently lose items necessary for task completion
- Easily distractible and appear forgetful
ADHD: Name one nursing consideration. Correct Answers
ADHD medication should be given every day, regardless of
whether school is in session.
,ADHD: Name three medications. Correct Answers -
Methylphenidate (Ritalin)
- Amphetamines mixed with salts (Adderall XR)
- Methylphenidate (Concenta)
Note: Take medications everyday in the AM
ADHD: What are four nursing interventions? Correct Answers
- Individual and family therapy
- Behavior management
- Providing emotional support
- Promoting self-esteem
Apnea: What are four caregiver education components? Correct
Answers - Safe sleep practices
- Teaching on how to use an apnea monitor
- Recording episodes in a sleep diary
- Optimal head/neck position for airway patency
Appropriate nursing intervention when caring for a child with
pneumonia, includes what? Correct Answers - Monitor
respiration status
Asthma: A client is experiencing wheezing and SOB, what
should the nurse do? Correct Answers Prepare and admin
bronchodilator as ordered.
Asthma: What are four nursing interventions? Correct Answers
- The nurse will have the client sit up in high fowler's and
instruct pt to breath in and out
, - Teach family how to use diff meds and have them in
handy just in case they need it.
- Eliminating triggers
- Any prevention meds of asthma needs to be taken regularly
even if they are not having symptoms
Asthma: What are four simple step using an inhaler? Correct
Answers - Shake device serval times
- Inhale slowly
- Hold breath for 10 seconds
- Wait 60 seconds between puffs
Attachment Disorder: What are some examples of treatment? (5
possible answers) Correct Answers - Assessment of attachment
behaviors to caregivers
- Assessment of appropriateness with strangers
- Safety assessment of child's home/foster placement to avoid re-
traumatization
- Presences of an emotionally available attachment figure
- Limiting contact with non-caregiving adults to avoid no
discriminant behaviors
Autism Spectrum Disorder: How do we care for children with
this disorder? Correct Answers Positive reinforcement
Bronchiolitis: What are some assessment findings? (8 possible
answers) Correct Answers - Mucus may produce wheezing and
crackle sounds
- Apnea, especially in premature infants
- Nasal congestion,
- Low-grade fever
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