Exam (elaborations)
Chapter 28 Alterations of Pulmonary Function in Children
- Institution
- Galen College Of Nursing
Chapter 28 Alterations of Pulmonary Function in Children
[Show more]
Seller
Follow
Content preview
Chapter 28: Alterations of Pulmonary Function in ChildrenMULTIPLE CHOICE
1. What is the most likely cause of croup?
a. Bacteria
b. Acute hyperventilation
c. Allergy
d. Viral infection
ANS: D
The most common cause of croup is viral, not bacterial. Croup is not caused by
acute hyperventilation or an allergic response.
REF: p. 715
2. A 5-year-old presents with high fever, inspiratory stridor, severe respiratory distress, drooling,
and dysphagia. Acute epiglottitis is suspected. When assessing the child the nurse would
avoid:
a. trying to keep the child calm.
b. examining the throat for redness.
c. auscultating the child’s respiratory rate.
d. counting the heart rate apically.
ANS: B
Examination of the throat shoNuUldRnSotIbNe GatTteBm.ptCedOaMs it may trigger
laryngospasm and cause respiratory collapse. It is appropriate to attempt to keep the child
calm, listen, and count the
child’s respiratory and heart rates.
REF: p. 717
3. A 10-year-old is diagnosed with obstructive sleep apnea. When the parents ask, the
nurse shares that the initial treatment will be:
a. tonsillectomy and adenoidectomy (T&A).
b. weight loss.
c. continuous positive airway pressure.
d. drug therapy.
ANS: A
Children with sleep apnea are most often referred for T&A. Weight loss, continuous positive
airway pressure, and drug therapy are not the treatment of choice.
REF: p. 718
4. A newborn is diagnosed with respiratory distress syndrome. When obtaining the patient’s
history, which of the following is the most important predisposing factor for this condition?
a. Low birth weight
b. Alcohol consumption by the mother during pregnancy
c. Premature birth
, d. Smoking by the mother during pregnancy
ANS: C
Newborn respiratory distress occurs almost exclusively in premature infants, not low birth
weight. Newborn respiratory distress is not associated with either maternal alcohol use or
smoking.
REF: p. 718
5. A newborn diagnosed with respiratory distress syndrome is monitored for atelectasis
because of:
a. a lack of surfactant.
b. pulmonary edema.
c. airway obstruction.
d. pulmonary fibrosis.
ANS: A
Atelectasis in newborn respiratory distress is due to lack of surfactant, not pulmonary
edema. Atelectasis in newborn respiratory distress is not due to either an airway obstruction
or pulmonary fibrosis.
REF: p. 718
6. A cardiovascular alteration seen in a newborn diagnosed with respiratory distress
syndrome includes:
a. left-to-right shunt.
b. left ventricular dilation.
c. pulmonary hypotension. N R I G B.CO M
U S
d. opening of fetal shunt pathways.
N T
ANS: D
Increased pulmonary vascular resistance may even cause a partial return to fetal
circulation, with right-to-left shunting of blood through the ductus arteriosus and foramen
ovale. A
left-to-right shunt does not occur. This situation is not associated with either ventricular
dilation or pulmonary hypotension.
REF: pp. 718-719
7. A newborn experiencing respiratory distress syndrome (RDS) will demonstrate signs:
a. within minutes of birth.
b. 2-3 hours after birth.
c. within the first 12-24 hours after birth.
d. 24-48 hours after exposure to an infectious organism.
ANS: A
Signs of RDS appear within minutes of birth. Signs of RDS are not associated with
an infectious organism.
REF: p. 719
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller senje. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
61001 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now