CHAPTER40 NURSING CARE OFB THE
CHILD WITH AN ALTERATION IN GAS
EXCHANGE \RESPIRATORY DISORDER
EXAM QUESTIONS AND ANSWERS.
What is beclomethasone used for? - CorreCt Answers -Beclomethasone is a
corticosteroid prescribed for long-term asthma control. Mast cell stabilizers
help to decrease bronchospasm and mucous membrane inflammation. A
xanthine derivative such as theophylline is a time-released bronchodilator.
Leukotriene inhibitors help with bronchodilation and decrease airway
edema.
A child presents to the health clinic with a temperature of 101.8°F (38.8°C),
dysphagia, headache, and a sore, erythematous throat. Which collaborative
intervention will the nurse complete first? - CorreCt Answers -Obtain a
throat culture
A child presenting with fever, dysphagia, headache, and a sore,
erythematous throat may have viral or bacterial pharyngitis. The nurse's
first action should be to obtain a throat culture to determine if the child has
a bacterial or viral infection. If the throat culture is negative, the child will
not require antibiotics. If the culture is positive, the child will need
antibiotics. Saltwater gargles will help relieve pain, but this is not a priority.
Children with streptococcal pharyngitis may develop a sandpaper rash, but
this information alone is not conclusive, and a throat culture should be
obtained prior to administering antibiotics.
Which family member would be restricted from the room of an infant
receiving ribavirin? - CorreCt Answers -Ribavirin is classified as a category
X drug, signaling a high risk for teratogenicity. The medication is
, administered by mist which may escape into the room. No pregnant female
should be admitted in the room. The other family members may be present.
The nurse is performing an abdominal assessment on a child. Which
assessment techniques demonstrated by the nurse are appropriate when
performing an abdominal assessment? Select all that apply. - CorreCt
Answers --The nurse uses percussion and notes dullness along the costal
margins and tympany over the remainder of the abdomen.
-The nurse uses the technique of inspection to assess for the presence of an
umbilical hernia.
-The nurse auscultates for bowel sounds in all four quadrants of the
abdomen.
Correct techniques include percussion of the abdomen to determine
dullness along the costal margins and tympany over the remainder of the
abdomen, inspection to visualize an umbilical hernia, and auscultation of
all 4 quadrants of the abdomen. Auscultation should occur prior to
palpation in order to not alter bowel sounds, and absence of bowel sounds
can only be determined when listening for at least 5 minutes in each
quadrant.
An 8-year-old client is suffering from allergic rhinitis (hay fever). Which
statement will the nurse include when providing education to the client's
caregiver? - CorreCt Answers -Pollen/mold
The allergens that usually cause allergic rhinitis (hay fever) are pollens or
molds rather than foods or drugs. Over-the-counter or prescription allergy
medications may help provide relief for these clients when taken. Peanuts
and soap are not associated with allergic rhinitis. Antibiotics are used to
treat bacterial infections, not allergic responses in clients.
CHILD WITH AN ALTERATION IN GAS
EXCHANGE \RESPIRATORY DISORDER
EXAM QUESTIONS AND ANSWERS.
What is beclomethasone used for? - CorreCt Answers -Beclomethasone is a
corticosteroid prescribed for long-term asthma control. Mast cell stabilizers
help to decrease bronchospasm and mucous membrane inflammation. A
xanthine derivative such as theophylline is a time-released bronchodilator.
Leukotriene inhibitors help with bronchodilation and decrease airway
edema.
A child presents to the health clinic with a temperature of 101.8°F (38.8°C),
dysphagia, headache, and a sore, erythematous throat. Which collaborative
intervention will the nurse complete first? - CorreCt Answers -Obtain a
throat culture
A child presenting with fever, dysphagia, headache, and a sore,
erythematous throat may have viral or bacterial pharyngitis. The nurse's
first action should be to obtain a throat culture to determine if the child has
a bacterial or viral infection. If the throat culture is negative, the child will
not require antibiotics. If the culture is positive, the child will need
antibiotics. Saltwater gargles will help relieve pain, but this is not a priority.
Children with streptococcal pharyngitis may develop a sandpaper rash, but
this information alone is not conclusive, and a throat culture should be
obtained prior to administering antibiotics.
Which family member would be restricted from the room of an infant
receiving ribavirin? - CorreCt Answers -Ribavirin is classified as a category
X drug, signaling a high risk for teratogenicity. The medication is
, administered by mist which may escape into the room. No pregnant female
should be admitted in the room. The other family members may be present.
The nurse is performing an abdominal assessment on a child. Which
assessment techniques demonstrated by the nurse are appropriate when
performing an abdominal assessment? Select all that apply. - CorreCt
Answers --The nurse uses percussion and notes dullness along the costal
margins and tympany over the remainder of the abdomen.
-The nurse uses the technique of inspection to assess for the presence of an
umbilical hernia.
-The nurse auscultates for bowel sounds in all four quadrants of the
abdomen.
Correct techniques include percussion of the abdomen to determine
dullness along the costal margins and tympany over the remainder of the
abdomen, inspection to visualize an umbilical hernia, and auscultation of
all 4 quadrants of the abdomen. Auscultation should occur prior to
palpation in order to not alter bowel sounds, and absence of bowel sounds
can only be determined when listening for at least 5 minutes in each
quadrant.
An 8-year-old client is suffering from allergic rhinitis (hay fever). Which
statement will the nurse include when providing education to the client's
caregiver? - CorreCt Answers -Pollen/mold
The allergens that usually cause allergic rhinitis (hay fever) are pollens or
molds rather than foods or drugs. Over-the-counter or prescription allergy
medications may help provide relief for these clients when taken. Peanuts
and soap are not associated with allergic rhinitis. Antibiotics are used to
treat bacterial infections, not allergic responses in clients.
