NURS 403 Assessment dos Questions with Correct Answers

What does bronchovesicular mean? the definition of a basic breath sound inspiratory phase is equal to the expiratory phase What does tachypnea mean? What about bradypnea? abnormally rapid breathing abnormally slow breathing AD How about dyspnea? difficult or labored breathing Apnea means? (last boring one I promise. Maybe. Hopefully) temporary cessation of breathing (Unless you just think my quizlet sets are boring, I mean.) Important nursing guidelines for effective auscultation of a child (This is just here for the vibes) -Make certain child is relaxed and not crying, talking, or laughing. Record if child is crying. -Check that room is comfortable and quiet. -Warm stethoscope before placing it against skin. -Apply firm pressure on chest piece but not enough to prevent vibrations and transmission of sound. -Avoid placing stethoscope over hair or clothing, moving it against skin, breathing on tubing, or sliding fingers over chest piece, which may cause sounds that falsely resemble pathologic findings. -Use a symmetric and orderly approach to compare sounds on each side. (Hockenberry pg 100) If a kid gets a respiratory infection, they're likely to get something like otitis media as a secondary infection. Why? Because their airways are so much smaller, so everything is closer together. It's easier for germs to go from one structure to another OTC cough medications are not recommended for... Younger than 6 What's the goal of education for parents of a kid that's got a cold? How to manage the gremlin at home give fluids, adequate rest, can give saline drops in the nose (they're gonna hate it) to make it easier to get secretions out What are the viruses that cause a common cold? Rhinoviruses Corornavirus RSV Flu Paraflu Adenovirus Metapneumovirus Bocaviruses Any time there's a respiratory disease as a nurse you're always going to monitor... for declining respiratory status. ABCs!!! The common cold is also called acute viral nasopharyngitis What's another name for strep throat. The fancy one. acute infectious nasopharyngitis Acute infectious nasopharyngitis can lead to? Parents should watch out for? Sometimes subsides between? Treatment is? can lead to acute rheumatic fever watch for increased respiratory rate, temp above 101.3 Sometimes subsides between 3-5 days Treatment is penicillin or amoxicillin for 10 days When can a kid start taking ibuprofen? 6 months or older RN interventions for acute INFECTIOUS nasopharyngitis? throat swab to confirm teach parents analgesics (gotta be at least 6 months old to take ibuprofen) warm compress and gargles Why is tonsilitis a bigger deal in children compared to adolescents and adults? Because kids have larger tonsils but their airway is tiny. So a little inflammation goes a long way towards making it hard for them to swallow (dysphagia). The inflammation can cause obstruction with their food too. Either way they can choke and die. What's some signs a parent might pick up on if their kid has tonsilitis? Their breath STANK. It's caused by an overgrowth of bacteria or viral load on the tonsils. Also watch for difficulty breathing and swallowing Diagnostic lab for tonsilitis? throat cultures for GABHS (group A beta hemolytic streptococci) When is a kid a candidate to get stabbed for tonsilitis (candidate for surgery) Contraindications for surgery? 5 incidences of tonsilitis in 2 years Contraindications: cleft palate and infection right before surgery Tonsilitis interventions Keep them comfy (calm and quiet) keep them upright Soft cold liquid diet (awwww yeeee ice cream) to help soothe inflammation What are some indications that tonsilitis surgery went, uh, BAD What do any of these mean? What do? restlessness tachycardia pallor irritability frequent swallowing bright red blood Any of these signs means they're hemorrhaging and you need to alert provider immediately How long does the flu usually last? 4 to 5 days Secondary infections for the flu? pneumonia (severe and viral) otitis media What's the treatment for influenza? Just the symptoms, honestly (weird) Tylenol and ibuprofen for fever and pain. Encourage fluids and rest Preventive education for the flu? flu shot and hand washing When can a kid get a flu shot for the first time? 6 months