C HAPTER 25: T HE C HILD WITH A
R ESPIRATORY D ISORDER
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What will the nurse teach the child with cystic fibrosis to take in order to
facilitate digestion and absorption of nutrients?
a. Pancreatic enz ymes
b. Water-soluble minerals
c. Fat-soluble vitamins
d. Salt supplements
ANS: A
An oral pancreatic enzyme is given to the child with every meal and
with snacks to replace the pancreatic enz ymes that the childs body
cannot produce.
DIF: Cognitive Level: Knowledge REF: Page 615 TOP:
Cystic Fibrosis KEY: Nursing Process Step: Implementat ion
MSC: NC LEX: Physiological Integrit y: Physiological
Adaptation
2. How would the nurse advise a mother to clear the nostrils when her infant
has a cold?
a. Clear the nasal passages after the infant has a feeding.
, b. Use over-the-counter nose drops to clear pass ages.
c. Remove nasal secretions with a bulb syringe.
d. Instill saline nose drops after clearing away secretions.
ANS: C
The nasal passages can be cleared by instilling a few drops of saline
into the nose and then suctioning the secretions with a bulb syringe .
DIF: Cognitive Level: Application REF: Page 596 TOP:
Nasopharyngitis KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y
3. The nurse offers a variet y of fluids to a 5 -year-old asthmatic child to
compensate for the fluid los s through dyspnea. Which fluids are most
appropriate?
a. Room temperature water
b. Carbonated beverages
c. Iced fruit juice
d. Cold milk
ANS: A
Room temperature fluids are the best. Carbonated and iced beverages
increase spasm. Milk stimulates mucus production.
DIF: Cognitive Level: Application REF: Page 609 TOP:
Asthma KEY: Nursing Process Step: Implementation
, MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
4. The asthmatic child who has been taking theophylline complains of
stomachache and tachycard ia and is sweating profusel y. What does the
nurse recognize as the cause of these sym ptoms?
a. Severe asthma attack
b. Allergic response to theophylline
c. Onset of bronchitis
d. Drug toxicit y
ANS: D
The symptoms described are the signs of theophylline toxicit y.
DIF: Cognitive Level: Anal ysis REF: Page 607 OBJ: 11
TOP: Asthma KEY: Nursing Process Step: Data
Collection MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
5. The nurse is planning to teach parents about preventing sudden infant
death syndrome (SIDS). What significant information would the nurse
include?
a. Wrapping the infant snugl y for rest periods
b. Positioning the infant prone for sleep
c. Sitting the infant up in an infant seat
d. Placing infants on their backs or sides for sleep
ANS: D
R ESPIRATORY D ISORDER
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What will the nurse teach the child with cystic fibrosis to take in order to
facilitate digestion and absorption of nutrients?
a. Pancreatic enz ymes
b. Water-soluble minerals
c. Fat-soluble vitamins
d. Salt supplements
ANS: A
An oral pancreatic enzyme is given to the child with every meal and
with snacks to replace the pancreatic enz ymes that the childs body
cannot produce.
DIF: Cognitive Level: Knowledge REF: Page 615 TOP:
Cystic Fibrosis KEY: Nursing Process Step: Implementat ion
MSC: NC LEX: Physiological Integrit y: Physiological
Adaptation
2. How would the nurse advise a mother to clear the nostrils when her infant
has a cold?
a. Clear the nasal passages after the infant has a feeding.
, b. Use over-the-counter nose drops to clear pass ages.
c. Remove nasal secretions with a bulb syringe.
d. Instill saline nose drops after clearing away secretions.
ANS: C
The nasal passages can be cleared by instilling a few drops of saline
into the nose and then suctioning the secretions with a bulb syringe .
DIF: Cognitive Level: Application REF: Page 596 TOP:
Nasopharyngitis KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y
3. The nurse offers a variet y of fluids to a 5 -year-old asthmatic child to
compensate for the fluid los s through dyspnea. Which fluids are most
appropriate?
a. Room temperature water
b. Carbonated beverages
c. Iced fruit juice
d. Cold milk
ANS: A
Room temperature fluids are the best. Carbonated and iced beverages
increase spasm. Milk stimulates mucus production.
DIF: Cognitive Level: Application REF: Page 609 TOP:
Asthma KEY: Nursing Process Step: Implementation
, MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
4. The asthmatic child who has been taking theophylline complains of
stomachache and tachycard ia and is sweating profusel y. What does the
nurse recognize as the cause of these sym ptoms?
a. Severe asthma attack
b. Allergic response to theophylline
c. Onset of bronchitis
d. Drug toxicit y
ANS: D
The symptoms described are the signs of theophylline toxicit y.
DIF: Cognitive Level: Anal ysis REF: Page 607 OBJ: 11
TOP: Asthma KEY: Nursing Process Step: Data
Collection MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
5. The nurse is planning to teach parents about preventing sudden infant
death syndrome (SIDS). What significant information would the nurse
include?
a. Wrapping the infant snugl y for rest periods
b. Positioning the infant prone for sleep
c. Sitting the infant up in an infant seat
d. Placing infants on their backs or sides for sleep
ANS: D
