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NUR 4220 - Exam 2 Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NUR 4220 - Exam 2 Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NUR 4220 - Exam 2 Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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What are the common reasons children seek care for respiratory
disorders? - Answer: Respiratory disorders are common due to smaller
airways, higher metabolic rates, less respiratory reserve, immature
immune systems, and obligate nose breathing in infants.

,What is the first nursing priority in managing pediatric respiratory
disorders? - Answer: Airway patency (upper vs lower airway signs).



What does WOB stand for in pediatric respiratory assessment? -
Answer: Work of Breathing.



What are signs of respiratory distress in children? - Answer: Nasal
flaring, retractions, head bobbing, grunting, and changes in
vocalization.



What does a 'silent chest' indicate in asthma patients? - Answer: It
indicates no airflow and is a late sign of respiratory failure.



What is a common assessment finding for respiratory rate in infants? -
Answer: Periodic breathing can confuse the assessment; count
respirations for a full minute.



What are the key findings of croup? - Answer: Barking cough,
hoarseness, inspiratory stridor, worse at night, and worsens with
agitation.

,What is the nursing priority for a child with croup? - Answer: Keep a
calm environment and assess for stridor at rest.



What are the red flags for respiratory distress in children? - Answer:
Worsening retractions, cyanosis, inability to drink, decreased urine
output, and lethargy.



What is the purpose of bronchodilators in pediatric respiratory care? -
Answer: To relax bronchial smooth muscle.



What should be monitored when administering inhaled medications
like albuterol? - Answer: Tachycardia, tremor, jitteriness, and
paradoxical bronchospasm.



What is the role of dexamethasone in treating croup? - Answer: It
decreases airway edema.



What is a significant sign of hypoxia in children? - Answer: Behavior
change, such as irritability or restlessness.



What is the typical progression of oxygen delivery methods in
respiratory distress? - Answer: Nasal cannula → face mask → high-flow
nasal cannula (HFNC) → CPAP/BiPAP → intubation.

, What are the signs of hypoxemia? - Answer: Cyanosis (late),
tachycardia, and agitation.



What are the signs of hypercapnia? - Answer: Headache, flushed skin,
drowsiness, and confusion.



What is the importance of hydration in pediatric respiratory care? -
Answer: Respiratory distress increases caloric expenditure and
decreases intake.



What should be done if a child shows signs of high work of breathing? -
Answer: Oral feeding can become unsafe due to aspiration risk.



What is the significance of a history of prior episodes in respiratory
assessments? - Answer: It helps determine asthma severity and
management.



What is the role of antibiotics in pediatric respiratory disorders? -
Answer: They are used for suspected bacterial pneumonia, bacterial
tracheitis, and complications of sinusitis.

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