PEDS RESPIRATORY DYSFUNCTION CH. 40 | GUARANTEED
SUCCESS STARTS HERE! LEARN, PRACTICE & EXCEL!
List Cardinal signs of Respiratory distress in children (4) Answer: Restlessness
Increased Respiratory Rate
Increased pulse rate
Diaphoresis
Other signs of Respiratory distress in children (7) Answer: A. Flaring nares
B. Retractions
C. Grunting
D. Adventitious breath sounds ( or absent)
E. Use of accessory muscles
F. Head bobbing
G. Alterations in blood gases
Upper respiratory Infections Signs and symptoms Answer: Cough, sneeze, nasal
discharge, nasal congestion, runny nose, fever, scratchy sore throat, nasal breathing,
rhinorea
Upper respiratory infections: Describe Otitis Media (3) Answer: Inflammatory disorder of
the middle ear
Autonomic structure of the ear predisposes young children to ear infections
Risk for conductive hearing loss if not treated properly
Upper respiratory infections: Describe Otitis Media Assessment (3) Answer: Fever, pain,
may pull at ear
Enlarged lymph nodes
Drainage if tympanic membrane perforated
Upper respiratory infections: Describe Otitis Media nursing care Answer: Abx
Manage fever
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Position of effected side to relieve pain
Family teaching
Finish all abx
Monitor for hearing loss
Teach preventive care
No smoking
Feed upright
Upper respiratory infections: Describe Epitaxis Answer: Nose bleeds
Usually benign and r/t irritating factors (dry mucosa, "trauma")
Treat by tilting the head forward and pinching the anterior portion of the nose
Upper respiratory infections: Describe Tonsillitis (4) Answer: Inflammation of the tonsils
Viral or bacterial
May be RT strep
If strep related, treatment is very important to prevent glomerular nephritis or rheumatic
heart disease
Upper respiratory infections: Describe Tonsillitis assessment (5) & NANDA Answer: Sore
throat
Fever
Enlarged tonsils, often with purulent drainage
Breathing may be obstructed if tonsils are touching ("kissing")
Rapid Strep Screen
Impaired Swallowing
Upper respiratory infections: Describe Tonsillitis nursing care & education (4) Answer:
Throat culture
Educate parents about home care
-Warm saline gargles
-Ice chips
-Abx
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
SUCCESS STARTS HERE! LEARN, PRACTICE & EXCEL!
List Cardinal signs of Respiratory distress in children (4) Answer: Restlessness
Increased Respiratory Rate
Increased pulse rate
Diaphoresis
Other signs of Respiratory distress in children (7) Answer: A. Flaring nares
B. Retractions
C. Grunting
D. Adventitious breath sounds ( or absent)
E. Use of accessory muscles
F. Head bobbing
G. Alterations in blood gases
Upper respiratory Infections Signs and symptoms Answer: Cough, sneeze, nasal
discharge, nasal congestion, runny nose, fever, scratchy sore throat, nasal breathing,
rhinorea
Upper respiratory infections: Describe Otitis Media (3) Answer: Inflammatory disorder of
the middle ear
Autonomic structure of the ear predisposes young children to ear infections
Risk for conductive hearing loss if not treated properly
Upper respiratory infections: Describe Otitis Media Assessment (3) Answer: Fever, pain,
may pull at ear
Enlarged lymph nodes
Drainage if tympanic membrane perforated
Upper respiratory infections: Describe Otitis Media nursing care Answer: Abx
Manage fever
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Position of effected side to relieve pain
Family teaching
Finish all abx
Monitor for hearing loss
Teach preventive care
No smoking
Feed upright
Upper respiratory infections: Describe Epitaxis Answer: Nose bleeds
Usually benign and r/t irritating factors (dry mucosa, "trauma")
Treat by tilting the head forward and pinching the anterior portion of the nose
Upper respiratory infections: Describe Tonsillitis (4) Answer: Inflammation of the tonsils
Viral or bacterial
May be RT strep
If strep related, treatment is very important to prevent glomerular nephritis or rheumatic
heart disease
Upper respiratory infections: Describe Tonsillitis assessment (5) & NANDA Answer: Sore
throat
Fever
Enlarged tonsils, often with purulent drainage
Breathing may be obstructed if tonsils are touching ("kissing")
Rapid Strep Screen
Impaired Swallowing
Upper respiratory infections: Describe Tonsillitis nursing care & education (4) Answer:
Throat culture
Educate parents about home care
-Warm saline gargles
-Ice chips
-Abx
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
