Week 5 – Ch. 32, 33, 38
Chapter 32: Respiratory **Also study quiz print outs
C. Refer To A Pulmonologist For
Polysomnography Evaluation.
In A Respiratory Disorder Causing A D. Refer To An Otolaryngologist For
Checkvalve Obstruction, Which Possible Tonsillectomy.
Symptoms Will Be Present? Refer To A Pulmonologist For
A. Air Entry On Inspiration With Polysomnography Evaluation
Expiratory Occlusion
B. Complete Obstruction On Inspiration A school-age child Has An Abrupt Onset
And Expiration Of Sore Throat, Nausea, Headache, And
C. Narrowing Of The Lumen With A Temperature Of 102.3°F. An
Increased Air Flow Resistance Examination Reveals Petechiae On The
D. Obstruction Of Air Entry With Soft Palate, beefy-red tonsils With
Unimpeded Expiratory Air Flow Yellow Exudate, And A Scarlatiniform
Air Entry On Inspiration With Expiratory Rash. A Rapid Antigen Detection Test
Occlusion (Radt) Is Negative. What Is The Next
A Child Has An Acute Infection Causing Step In Management For This Child?
Lower Airway Obstruction. Which Initial A. Consider A Sexual Abuse Diagnosis.
Symptom Is Expected In This Child? B. Obtain An Antistreptococcal Antibody
A. Atelectasis Titer.
B. Barrel Chest C. Perform A Follow-up Throat Culture.
C. Overinflation D. Prescribe Amoxicillin For 10 Days.
D. Wheezing Perform A Follow-up Throat Culture.
Wheezing
An Adolescent Has Suspected Infectious
A 4-year-old Child With An Upper Mononucleosis After Exposure To The
Respiratory Tract Infection Has Cloudy Virus In The Past Week. The Primary
Nasal Discharge And Moderate Nasal Care Pediatric Nurse Practitioner
Congestion Interfering With Sleep. The Examines The Adolescent And Notes
Parent Asks What Product To Use To Exudate On The Tonsils, Soft Palate
Help With Symptoms. What Will The Petechiae, And Diffuse Adenopathy.
Primary Care Pediatric Nurse Which Test Will The Primary Care
Practitioner Recommend? Pediatric Nurse Practitioner Perform To
A. Antihistamines Confirm The Diagnosis?
B. Decongestant Sprays A. Complete Blood Count
C. Saline Rinses B. Ebv-specific Antibody Testing
D. Zinc Supplements C. Heterophile Antibody Testing
Saline Rinses D. Throat Culture
Ebv-specific Antibody Testing
A 5-year-old Child Has Enlarged Tonsils
And A History Of Four Throat Infections A school-age child Has Had Nasal
In The Previous Year With Fever, Discharge And Daytime Cough But No
Cervical Lymphadenopathy, And Positive Fever For 12 Days Without Improvement
Group A Streptococcus Pyogenes In Symptoms. The Child Has Not Had
(Gabhs) Cultures. The Parent Reports Antibiotics Recently And There Is No
That The Child Snores At Night And Significant Antibiotic Resistance In The
Expresses Concerns About The Child's Local Community. What Is The
Quality Of Sleep. The Next Step In Appropriate Treatment For This Child?
Managing This Child's Condition Is To A. Amoxicillin 45 Mg/Kg/Day
A. Continue To Observe The Child For B. Amoxicillin 8090 Mg/Kg/Day
Two Or More Gabhs Infections. C. Amoxicillin clavulanate 8090
B. Prescribe Prophylactic Antibiotics To Mg/Kg/Day
Prevent Recurrent Infection.
, D. Saline Irrigation For Symptomatic D. Refer To An Otolaryngologist For
Relief Further Evaluation.
Amoxicillin 45 Mg/Kg/Day Refer To An Otolaryngologist For Further
Evaluation.
After 14 Days Of Treatment With
Amoxicillin 45 Mg/Kg/Day For Acute A Child Is In The Clinic Because Of
Rhinosinusitis, Child Continues To Have Symptoms Of Purulent, Foulsmelling
Mucopurulent Nasal Discharge Along Discharge From The Right Nostril.
With Induration, Swelling, And Nasal Visualization Reveals Something
Erythema Of Both Eyelids. What Is The Shiny In A Mass Of Mucous In The
Next Course Of Treatment? Nasal Cavity. What Will The Primary
A. Amoxicillin 80 Mg/Kg/Day For 14 Care Pediatric Nurse Practitioner Do?
Days A. Attempt To Remove The Mass Gently
B. Amoxicillin clavulanate For 10 To 14 Using Alligator Forceps.
Days B. Perform A Saline Nasal Rinse Using A
C. Antibiotic Ophthalmic Drops For 5 To Water Jet Device.
7 Days C. Refer The Child To A Pediatric
D. Referral To A Pediatric Otolaryngologist.
Otolaryngologist D. Suction The Mucoid Mass Using A
Referral To A Pediatric Otolaryngologist Bulb Syringe.
Attempt To Remove The Mass Gently Using
The Parent Of A Toddler And A 4-week- Alligator Forceps
old Infant Tells The Primary Care
Pediatric Nurse Practitioner That The A 2-year-old Child Is Brought To The
Toddler Has Just Been Diagnosed With Clinic After Developing A Hoarse, Bark
Pertussis. What Will The Nurse like Cough During The Night With
Practitioner Do To Prevent Disease "Trouble Catching His Breath"
Transmission To The Infant? According To The Parent. The History
A. Administer The Initial Diphtheria, Reveals A 2 Day History Of Lowgrade
Pertussis, And Tetanus Vaccine. Fever And Upper Respiratory Symptoms.
B. Instruct The Parent To Limit Contact On Exam, The Child Has A Respiratory
Between The Toddler And The Infant. Rate Of 40 Breaths Per Minute,
C. Order Azithromycin 10 Mg/Kg/Day In Occasional Stridor When Crying, And A
A Single Dose Daily For 5 Days. Temperature Of 101.3°F. What Is The
D. Prescribe Erythromycin 10 Next Step In Treatment For This Child?
Mg/Kg/Dose Four Times Daily For 14 A. Administer Intramuscular
Days. Dexamethasone.
Order Azithromycin 10 Mg/Kg/Day In A B. Admit The Child For Inpatient
Single Dose Daily For 5 Days Hospitalization.
C. Give The Child A Racemic
A School-Age Child Has Frequent Epinephrine Treatment In The Office.
Nosebleeds. Nasal Visualization Reveals D. Prescribe Oral Dexamethasone For 2
Fresh Clots And Excoriated Nasal Days.
Mucosa But No Visible Site Of Bleeding. Prescribe Oral Dexamethasone For 2 Days.
Coagulation Studies Are Normal. In
Spite Of Symptomatic Measures, The The Primary Care Pediatric Nurse
Child Continues To Have Nosebleeds. Practitioner Evaluates A Child Who
What Is The Next Course Of Action? Awoke With A Sore Throat And High
A. Cauterize The Mucosa With Silver Fever After A Nap. The Child Appears
Nitrate Sticks. Anxious And Is Sitting On The Parent's
B. Order A Topical Vasoconstrictor Lap With The Neck Hyperextended. The
Medication. Physical Exam Reveals Stridor, Drooling,
C. Prescribe A Barrier Agent Such As Nasal Flaring, And Retractions. What
Petrolatum Jelly. Will The Nurse Practitioner Do Next?
A. Administer A Broad spectrum
Chapter 32: Respiratory **Also study quiz print outs
C. Refer To A Pulmonologist For
Polysomnography Evaluation.
In A Respiratory Disorder Causing A D. Refer To An Otolaryngologist For
Checkvalve Obstruction, Which Possible Tonsillectomy.
Symptoms Will Be Present? Refer To A Pulmonologist For
A. Air Entry On Inspiration With Polysomnography Evaluation
Expiratory Occlusion
B. Complete Obstruction On Inspiration A school-age child Has An Abrupt Onset
And Expiration Of Sore Throat, Nausea, Headache, And
C. Narrowing Of The Lumen With A Temperature Of 102.3°F. An
Increased Air Flow Resistance Examination Reveals Petechiae On The
D. Obstruction Of Air Entry With Soft Palate, beefy-red tonsils With
Unimpeded Expiratory Air Flow Yellow Exudate, And A Scarlatiniform
Air Entry On Inspiration With Expiratory Rash. A Rapid Antigen Detection Test
Occlusion (Radt) Is Negative. What Is The Next
A Child Has An Acute Infection Causing Step In Management For This Child?
Lower Airway Obstruction. Which Initial A. Consider A Sexual Abuse Diagnosis.
Symptom Is Expected In This Child? B. Obtain An Antistreptococcal Antibody
A. Atelectasis Titer.
B. Barrel Chest C. Perform A Follow-up Throat Culture.
C. Overinflation D. Prescribe Amoxicillin For 10 Days.
D. Wheezing Perform A Follow-up Throat Culture.
Wheezing
An Adolescent Has Suspected Infectious
A 4-year-old Child With An Upper Mononucleosis After Exposure To The
Respiratory Tract Infection Has Cloudy Virus In The Past Week. The Primary
Nasal Discharge And Moderate Nasal Care Pediatric Nurse Practitioner
Congestion Interfering With Sleep. The Examines The Adolescent And Notes
Parent Asks What Product To Use To Exudate On The Tonsils, Soft Palate
Help With Symptoms. What Will The Petechiae, And Diffuse Adenopathy.
Primary Care Pediatric Nurse Which Test Will The Primary Care
Practitioner Recommend? Pediatric Nurse Practitioner Perform To
A. Antihistamines Confirm The Diagnosis?
B. Decongestant Sprays A. Complete Blood Count
C. Saline Rinses B. Ebv-specific Antibody Testing
D. Zinc Supplements C. Heterophile Antibody Testing
Saline Rinses D. Throat Culture
Ebv-specific Antibody Testing
A 5-year-old Child Has Enlarged Tonsils
And A History Of Four Throat Infections A school-age child Has Had Nasal
In The Previous Year With Fever, Discharge And Daytime Cough But No
Cervical Lymphadenopathy, And Positive Fever For 12 Days Without Improvement
Group A Streptococcus Pyogenes In Symptoms. The Child Has Not Had
(Gabhs) Cultures. The Parent Reports Antibiotics Recently And There Is No
That The Child Snores At Night And Significant Antibiotic Resistance In The
Expresses Concerns About The Child's Local Community. What Is The
Quality Of Sleep. The Next Step In Appropriate Treatment For This Child?
Managing This Child's Condition Is To A. Amoxicillin 45 Mg/Kg/Day
A. Continue To Observe The Child For B. Amoxicillin 8090 Mg/Kg/Day
Two Or More Gabhs Infections. C. Amoxicillin clavulanate 8090
B. Prescribe Prophylactic Antibiotics To Mg/Kg/Day
Prevent Recurrent Infection.
, D. Saline Irrigation For Symptomatic D. Refer To An Otolaryngologist For
Relief Further Evaluation.
Amoxicillin 45 Mg/Kg/Day Refer To An Otolaryngologist For Further
Evaluation.
After 14 Days Of Treatment With
Amoxicillin 45 Mg/Kg/Day For Acute A Child Is In The Clinic Because Of
Rhinosinusitis, Child Continues To Have Symptoms Of Purulent, Foulsmelling
Mucopurulent Nasal Discharge Along Discharge From The Right Nostril.
With Induration, Swelling, And Nasal Visualization Reveals Something
Erythema Of Both Eyelids. What Is The Shiny In A Mass Of Mucous In The
Next Course Of Treatment? Nasal Cavity. What Will The Primary
A. Amoxicillin 80 Mg/Kg/Day For 14 Care Pediatric Nurse Practitioner Do?
Days A. Attempt To Remove The Mass Gently
B. Amoxicillin clavulanate For 10 To 14 Using Alligator Forceps.
Days B. Perform A Saline Nasal Rinse Using A
C. Antibiotic Ophthalmic Drops For 5 To Water Jet Device.
7 Days C. Refer The Child To A Pediatric
D. Referral To A Pediatric Otolaryngologist.
Otolaryngologist D. Suction The Mucoid Mass Using A
Referral To A Pediatric Otolaryngologist Bulb Syringe.
Attempt To Remove The Mass Gently Using
The Parent Of A Toddler And A 4-week- Alligator Forceps
old Infant Tells The Primary Care
Pediatric Nurse Practitioner That The A 2-year-old Child Is Brought To The
Toddler Has Just Been Diagnosed With Clinic After Developing A Hoarse, Bark
Pertussis. What Will The Nurse like Cough During The Night With
Practitioner Do To Prevent Disease "Trouble Catching His Breath"
Transmission To The Infant? According To The Parent. The History
A. Administer The Initial Diphtheria, Reveals A 2 Day History Of Lowgrade
Pertussis, And Tetanus Vaccine. Fever And Upper Respiratory Symptoms.
B. Instruct The Parent To Limit Contact On Exam, The Child Has A Respiratory
Between The Toddler And The Infant. Rate Of 40 Breaths Per Minute,
C. Order Azithromycin 10 Mg/Kg/Day In Occasional Stridor When Crying, And A
A Single Dose Daily For 5 Days. Temperature Of 101.3°F. What Is The
D. Prescribe Erythromycin 10 Next Step In Treatment For This Child?
Mg/Kg/Dose Four Times Daily For 14 A. Administer Intramuscular
Days. Dexamethasone.
Order Azithromycin 10 Mg/Kg/Day In A B. Admit The Child For Inpatient
Single Dose Daily For 5 Days Hospitalization.
C. Give The Child A Racemic
A School-Age Child Has Frequent Epinephrine Treatment In The Office.
Nosebleeds. Nasal Visualization Reveals D. Prescribe Oral Dexamethasone For 2
Fresh Clots And Excoriated Nasal Days.
Mucosa But No Visible Site Of Bleeding. Prescribe Oral Dexamethasone For 2 Days.
Coagulation Studies Are Normal. In
Spite Of Symptomatic Measures, The The Primary Care Pediatric Nurse
Child Continues To Have Nosebleeds. Practitioner Evaluates A Child Who
What Is The Next Course Of Action? Awoke With A Sore Throat And High
A. Cauterize The Mucosa With Silver Fever After A Nap. The Child Appears
Nitrate Sticks. Anxious And Is Sitting On The Parent's
B. Order A Topical Vasoconstrictor Lap With The Neck Hyperextended. The
Medication. Physical Exam Reveals Stridor, Drooling,
C. Prescribe A Barrier Agent Such As Nasal Flaring, And Retractions. What
Petrolatum Jelly. Will The Nurse Practitioner Do Next?
A. Administer A Broad spectrum
