Chapter 25: The Child with a Respiratory
Disorder
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. Which statement indicates that the child‘s parents understand how to perform respiratory
therapy?
a. “We do her postural drainage before the aerosol therapy.”
b. “We give her respiratory treatments when she is coughing a lot.”
c. “We give the aerosol followed by postural drainage before meals.”
d. “She needs respiratory therapy every day when she has an infection.”
ANS: C
Postural drainage for the child with CF is done following nebulization. Therapy is best
scheduled before meals or at least 1 hour after eating to prevent vomiting.
DIF: Cognitive Level: Analysis REF: p. 615 OBJ: 14
TOP: Cystic Fibrosis KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and
absorption of nutrients?
a. Pancreatic enzymes
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 enzymes that the child‘s body cannot produce.
DIF: Cognitive Level: Knowledge REF: p. 618 OBJ: 14
, TOP: Cystic Fibrosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. 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 passages.
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: p. 598 OBJ: 2
TOP: Nasopharyngitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
4. The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid
loss 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: p. 612 OBJ: 13
TOP: Asthma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. The asthmatic child who has been taking theophylline complains of stomachache and tachycardia
and is sweating profusely. What does the nurse recognize as the cause of these symptoms?
a. Severe asthma attack
b. Allergic response to theophylline
Disorder
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. Which statement indicates that the child‘s parents understand how to perform respiratory
therapy?
a. “We do her postural drainage before the aerosol therapy.”
b. “We give her respiratory treatments when she is coughing a lot.”
c. “We give the aerosol followed by postural drainage before meals.”
d. “She needs respiratory therapy every day when she has an infection.”
ANS: C
Postural drainage for the child with CF is done following nebulization. Therapy is best
scheduled before meals or at least 1 hour after eating to prevent vomiting.
DIF: Cognitive Level: Analysis REF: p. 615 OBJ: 14
TOP: Cystic Fibrosis KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and
absorption of nutrients?
a. Pancreatic enzymes
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 enzymes that the child‘s body cannot produce.
DIF: Cognitive Level: Knowledge REF: p. 618 OBJ: 14
, TOP: Cystic Fibrosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. 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 passages.
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: p. 598 OBJ: 2
TOP: Nasopharyngitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
4. The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid
loss 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: p. 612 OBJ: 13
TOP: Asthma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. The asthmatic child who has been taking theophylline complains of stomachache and tachycardia
and is sweating profusely. What does the nurse recognize as the cause of these symptoms?
a. Severe asthma attack
b. Allergic response to theophylline
