Peds Nursing 4 Exam 1 & 2 Respiratory NCLEX questions with answers graded A+

Peds Nursing 4 Exam 1 & 2 Respiratory NCLEX questions When planning care for a 4-month-old child admitted with respiratory distress caused by respiratory syncytial virus (RSV) and bronchiolitis, it is essential to include which of the following? a. Give antibiotics. b. Ensure adequate hydration. c. Administer cough syrup. d. Feed 4 oz of formula every 4 hours. - correct answer b. Ensure adequate hydration. *Rational*: When respiratory distress is present, hydration is an essential consideration. Usually infants cannot take fluids by the oral route because of the difficulty breathing. Intravenous fluid administration may be necessary. RSV is a virus, so antibiotics are not beneficial. Cough syrup is not routinely used in RSV. Although fluid and calories are important, an infant with respiratory distress is usually unable to drink this amount of fluid. A humidified atmosphere is recommended for a young child with an upper respiratory tract infection because it a. Liquefies secretions. b. Improves oxygenation. c. Promotes less labored ventilation. d. Soothes inflamed mucous membranes. - correct answer d. Soothes inflamed mucous membranes. *Rational*: Warm or cold mist is useful to soothe the inflamed mucous membranes. Humidification is most useful when hoarseness of laryngeal involvement occurs. Normal saline nose drops should be used to liquefy secretions. The mist particles do not penetrate in sufficient amounts to accomplish this. There is no additional oxygen in the mist therapy commonly used for respiratory tract infections. The primary effect of mist is to soothe the inflamed membranes. A reduction in swelling might ease ventilatory effect, but it is not the primary purpose of the therapy. An appropriate nursing intervention when caring for a child with pneumonia is which of the following? a. Avoiding placing child on the affected side. b. Monitor the respiratory status frequently.