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CHAPTER40 NURSING CARE OFB THE
CHILD WITH AN ALTERATION IN GAS
EXCHANGE \RESPIRATORY DISORDER
EXAM QUESTIONS AND ANSWERS
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Mast cell stabilizers
help to decrease bronchospasm and mucous membrane inflammation
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Leukotriene inhibitors help with bronchodilation and decrease airway
edema
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8°F (38
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Which collaborative
intervention will the nurse complete first? - CorreCt Answers -Obtain a
throat culture

A child presenting with fever, dysphagia, headache, and a sore,
erythematous throat may have viral or bacterial pharyngitis
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If the throat culture is negative, the child will
not require antibiotics
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Saltwater gargles will help relieve pain, but this is not a priority
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Which family member would be restricted from the room of an infant
receiving ribavirin? - CorreCt Answers -Ribavirin is classified as a category
X drug, signaling a high risk for teratogenicity
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No pregnant female
should be admitted in the room
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The nurse is performing an abdominal assessment on a child
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- CorreCt
Answers --The nurse uses percussion and notes dullness along the costal
margins and tympany over the remainder of the abdomen
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-The nurse auscultates for bowel sounds in all four quadrants of the
abdomen
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Auscultation should occur prior to
palpation in order to not alter bowel sounds, and absence of bowel sounds
can only be determined when listening for at least 5 minutes in each
quadrant
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Which
statement will the nurse include when providing education to the client's
caregiver? - CorreCt Answers -Pollen/mold

The allergens that usually cause allergic rhinitis (hay fever) are pollens or
molds rather than foods or drugs
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Peanuts
and soap are not associated with allergic rhinitis
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When the nurse is reinforcing teaching with the caregiver of a 3-year-old
child being discharged following a tonsillectomy, the caregiver states to the
nurse, "I understand why there might be bleeding in the first 24 hours, but
I do not understand why there might be bleeding in 1 week or so
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Hemorrhage is the most common complication of a tonsillectomy
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Bleeding late postoperatively can occur when the
clots dissolve and new tissue is not yet present
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By
10 days postoperatively the child may still have a slight sore throat or have
difficulty eating some solid foods so the child has not forgotten about the
surgery
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Salt will not cause bleeding and telling that to a parent is
providing false information
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At
the follow-up visit, the nurse will assess the child for which potential
complication? - CorreCt Answers -Development of rheumatic fever
Which immunizations are suggested at 2 months of age to prevent bacterial
pneumonia? Select all that apply
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influenzae type B conjugate) and pneumococcal (PCV) vaccines
are suggested at 2 months of age and were developed to decrease the
incidence of respiratory infections, including bacterial pneumonia
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The rotavirus vaccine

protects against dehydration from a gastrointestinal virus
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Which piece of equipment is most helpful in determining airway
obstruction in the client with asthma? - CorreCt Answers -The peak flow
meter provides the most reliable early sign of an asthma episode
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A nebulizer
and inhaler treat symptoms
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The nurse is caring for an infant whose oxygen saturation levels frequently
drop below 90%
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Conditions such as bronchopulmonary
dysplasia (chronic lung disease), pneumonia, and bronchiolitis can put
infants at risk
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Vital signs, respiratory depth, and pattern, and breath
sounds are basic nursing assessments that provide helpful data on the
respiratory system, but these data are not as important as the laboratory
results
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What
observation would lead the nurse to suspect airway occlusion? - CorreCt
Answers -Acute laryngotracheobronchitis is also know as croup
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An increasing respiratory rate,
retractions, and nasal flaring are signs of major respiratory distress and
occlusion
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Nasal discharge is generally not seen with croup
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A 2-year-old toddler will become tired
and fall asleep or be irritable and unable to fall asleep
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What trait is unique in regards to the structure and function of the
newborn's respiratory system? - CorreCt Answers -Newborns are obligatory
nose breathers until at least 4 weeks of age
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The respiratory
tract grows and changes until the child is about 12 years of age
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After teaching the parents of an 8-year-old girl with asthma about common
allergens their child should avoid, the nurse determines that the parents
need additional teaching when they identify what as a common allergen for
asthma?

shellfish
indoor molds
pet dander
dust mites - CorreCt Answers -Shellfish

Eating shellfish is not a typical asthma trigger
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Indoor molds, pet
dander, and dust mites are common asthma triggers
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A child

who has been living in crowded locations, who is impoverished, or
homeless is at an increased risk
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A child living in a household
with parents and one sibling does not have an increased risk for infection
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The nurse is collecting data on a child admitted with a respiratory concern
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The signs the nurse noted indicate the child likely has:
- CorreCt Answers -The child with epiglottitis is very anxious and prefers to
breathe by sitting forward with the neck extended
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The child with asthma would have wheezing and
distress trying to breathe
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The drooling,
leaning forward, and appearing distressed are not manifestations of TB
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Swollen lymph nodes obstructing the airway would
occur during the illness, not afterward
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The organism
will not affect the teeth
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Which measure would be most effective in aiding bronchodilation in a child
with laryngotracheobronchitis? - CorreCt Answers -Assisting with racemic
epinephrine nebulizer therapy

Croup is a viral infection that causes inflammation and edema of the larynx,
trachea, and bronchi
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Racemic epinephrine is an alpha adrenergic agent
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This increases the

lumen of airways, allowing for better intake of air
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The child should not be
offered fluids because this is an aspiration risk and analgesics will not
reduce swelling

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