NUR 235 Exam #4 Questions
Study online at https://quizlet.com/_aivuek
1. - shorter airway (4 mm in diameter compared to 20 Which anatomical differ-
mm) ences make caring for chil-
- flexible larynx is susceptible to spasms dren with respiratory disor-
- flexible trachea is susceptible to collapse ders different than caring
- decreased amount of alveoli for adults?
- underdeveloped lungs
- infants are obligatory nose breathers (until 4 weeks)
2. True. This creates a higher oxygen demand. T or F? An infant's metabolic
rate is almost twice as high
as an adult's metabolic rate.
3. If the infant is in respiratory distress. IV feedings & When should oral feed-
fluids should be initiated until oral intake is accept- ings be discontinued for
able. infants?
4. supine with HOB elevated 45 degrees What is the ideal position
for optimal chest expan-
sion?
5. - tachypnea & tachycardia What are the S/S of respi-
- intercostal retractions ratory distress?
- paradoxical breathing
- restlessness
- grunting
- nasal flaring
- diaphoresis (except in neonates)
- clubbing of fingertips
- acrocyanosis (normal in infants up to 48 hours)
6. - pulse oximetry Methods used to increase
- oxygen therapy oxygenation and improve
- nebulized aerosol
, NUR 235 Exam #4 Questions
Study online at https://quizlet.com/_aivuek
- MDI or dry powder inhaler & monitor respiratory func-
- chest physiotherapy tioning include...
- suctioning (NT, OT, ET, tracheal)
- artificial airway insertion
7. - determine which type of device should be used (i.e. Nursing management for
mouthpiece, mask, or blow-by) nebulized aerosol therapy
- assess VS and O2 saturation prior to & after admin- includes...
istration
- monitor for bronchospasms
- *teach child to take slow, deep breaths by mouth*
8. - shake the inhaler 5-6 times Describe the proper way
- attach the spacer to use a metered-dose in-
- take a deep breath and exhale haler.
- use the open-mouth or closed-mouth method
- press the inhaler and take a *slow, deep breath*
- hold breath for 5-10 seconds
- wait at least 1 minute between puffs if an additional
puff is needed
- *rinse mouth out after use*
9. - *DO NOT SHAKE the device* Describe the proper way to
- exhale completely use a dry powder inhaler.
- place device between the lips and take a *fast, deep
breath*
- hold breath for 5-10 seconds
- wait prescribed length of time if an additional puff
is needed
- rinse the inhaler, cap, and spacer once daily
10. - at least 1 hour before eating When should chest phys-
- at least 2 hours after eating iotherapy be performed in
, NUR 235 Exam #4 Questions
Study online at https://quizlet.com/_aivuek
relation to mealtimes to
prevent GI upset?
11. Venturi mask Which oxygen delivery de-
vice provides the most ac-
curate control of oxygen
administration?
12. - infants: less than 5 seconds How long should each suc-
- children: less than 10 seconds tioning pass be performed
on infants and children?
13. False. You should suction as you withdraw the T or F? Suctioning is per-
catheter, rolling the catheter between the fingers. formed as you insert the
catheter.
14. - *nasal corticosteroids (i.e. fluticasone)* Treatment options for aller-
- 1st & 2nd generation antihistamines (based on age) gic rhinitis include...
- beta adrenergic decongestants (i.e. pseu-
doephedrine)
- mast cell stabilizer (i.e. cromolyn)
- leukotriene modifiers (i.e. montelukast)
- anticholinergics (i.e. ipratropium)
15. - *earache & tugging at the ears* What are the S/S of otitis
- *bulging, red, or opaque eardrum* media?
- *purulent, foul-smelling drainage*
- nonspecific S/S of infection (i.e. fever, N/V, crying,
anorexia)
16. - breastfeeding Methods used to prevent
- discontinue pacifier after 6 months ear infections can include...
- feed children sitting straight up
Study online at https://quizlet.com/_aivuek
1. - shorter airway (4 mm in diameter compared to 20 Which anatomical differ-
mm) ences make caring for chil-
- flexible larynx is susceptible to spasms dren with respiratory disor-
- flexible trachea is susceptible to collapse ders different than caring
- decreased amount of alveoli for adults?
- underdeveloped lungs
- infants are obligatory nose breathers (until 4 weeks)
2. True. This creates a higher oxygen demand. T or F? An infant's metabolic
rate is almost twice as high
as an adult's metabolic rate.
3. If the infant is in respiratory distress. IV feedings & When should oral feed-
fluids should be initiated until oral intake is accept- ings be discontinued for
able. infants?
4. supine with HOB elevated 45 degrees What is the ideal position
for optimal chest expan-
sion?
5. - tachypnea & tachycardia What are the S/S of respi-
- intercostal retractions ratory distress?
- paradoxical breathing
- restlessness
- grunting
- nasal flaring
- diaphoresis (except in neonates)
- clubbing of fingertips
- acrocyanosis (normal in infants up to 48 hours)
6. - pulse oximetry Methods used to increase
- oxygen therapy oxygenation and improve
- nebulized aerosol
, NUR 235 Exam #4 Questions
Study online at https://quizlet.com/_aivuek
- MDI or dry powder inhaler & monitor respiratory func-
- chest physiotherapy tioning include...
- suctioning (NT, OT, ET, tracheal)
- artificial airway insertion
7. - determine which type of device should be used (i.e. Nursing management for
mouthpiece, mask, or blow-by) nebulized aerosol therapy
- assess VS and O2 saturation prior to & after admin- includes...
istration
- monitor for bronchospasms
- *teach child to take slow, deep breaths by mouth*
8. - shake the inhaler 5-6 times Describe the proper way
- attach the spacer to use a metered-dose in-
- take a deep breath and exhale haler.
- use the open-mouth or closed-mouth method
- press the inhaler and take a *slow, deep breath*
- hold breath for 5-10 seconds
- wait at least 1 minute between puffs if an additional
puff is needed
- *rinse mouth out after use*
9. - *DO NOT SHAKE the device* Describe the proper way to
- exhale completely use a dry powder inhaler.
- place device between the lips and take a *fast, deep
breath*
- hold breath for 5-10 seconds
- wait prescribed length of time if an additional puff
is needed
- rinse the inhaler, cap, and spacer once daily
10. - at least 1 hour before eating When should chest phys-
- at least 2 hours after eating iotherapy be performed in
, NUR 235 Exam #4 Questions
Study online at https://quizlet.com/_aivuek
relation to mealtimes to
prevent GI upset?
11. Venturi mask Which oxygen delivery de-
vice provides the most ac-
curate control of oxygen
administration?
12. - infants: less than 5 seconds How long should each suc-
- children: less than 10 seconds tioning pass be performed
on infants and children?
13. False. You should suction as you withdraw the T or F? Suctioning is per-
catheter, rolling the catheter between the fingers. formed as you insert the
catheter.
14. - *nasal corticosteroids (i.e. fluticasone)* Treatment options for aller-
- 1st & 2nd generation antihistamines (based on age) gic rhinitis include...
- beta adrenergic decongestants (i.e. pseu-
doephedrine)
- mast cell stabilizer (i.e. cromolyn)
- leukotriene modifiers (i.e. montelukast)
- anticholinergics (i.e. ipratropium)
15. - *earache & tugging at the ears* What are the S/S of otitis
- *bulging, red, or opaque eardrum* media?
- *purulent, foul-smelling drainage*
- nonspecific S/S of infection (i.e. fever, N/V, crying,
anorexia)
16. - breastfeeding Methods used to prevent
- discontinue pacifier after 6 months ear infections can include...
- feed children sitting straight up
