Nur 235 Exam 3 UPDATED ACTUAL Questions and CORRECT Answers
1. Focused Respiratory Assessment •Chief complaint
• Visual inspection
• Auscultation
• Vital signs
• Pain
• Continuous pulse oximetry
• Blood gas
• Sputum and/or Culture
• X-ray
• Pulmonary function test
2. What are some nursing interven- Positioning
tions/Considerations in pediatric respira- Pulse Ox
tory patients? Suction/CPT/Incentive spirometry
O2
Meds
Emergency Preparedness
3. What are some priority respiratory as- Signs of distress? (tachypnea, accessory mus-
sessment points? cles, chest rise, coloring?)
Expected vital sign ranges.
Signs/Symptoms related to a specific disor-
der.
Adventitious breathing sounds
(What do they tell you?)
4. What oxygen saturation necessitates a < 95% SPO2
nursing intervention?
5. - Temp Checks for hypothermia
- Oxygen flow at 4-5L/Min
, What considerations are necessary when
delivering cool mist in an acute care en-
vironment?
6. What are the priority actions to ensure - Clear patients airway
airway patency and optimal lung expan- - Elevate the HOB
sion?
7. What nursing interventions should be Continuous Pulse Ox
applied for any pediatric patient admit-
ted with a respiratory concern?
8. What are the bacterial Respiratory condi- -Acute Streptococcal Pharyngitis
tions? -Bacterial epiglottitis
-Bacterial pneumonia
9. Bacterial Epiglottitis & SSx Bacterial infection of the epiglottis that swells
and blocks the airway
Drooling
Agitation
Muffled voice
No cough
Inspiratory Stridor
10. What is the priority intervention for Bac- Airway management
terial Epiglottitis? intubation
protect airway (NO tongue blades)
Continuous Pulse Ox
11. What is the recommended testing for Neck radiograph
Bacterial Epiglottitis?
12.
, What is the initial medication/treatment O2
for Bacterial Epiglottitis? IV fluids
antibiotics
Education on immunization "Hib"
13. Why is Bacterial Epiglottitis considered a -Risk of airway compromise
medical emergency? -Immediate intervention!
14. What is acute streptococcal pharyngitis? Strep throat, bacterial infection of the upper
airway
Pharyngitis, tonsillitis, fever, positive gabhs
15. What are some symptoms of Acute -Sore Throat
Streptococcal Pharyngitis? -diflculty swallowing
-mouth odor
-tonsillar exudate
16. What is the recommended testing Throat culture
method for Acute Streptococcal Pharyn-
gitis?
17. What are the priority interventions for -Meds = Penicillin, amoxicillin
Acute Streptococcal Pharyngitis? -Analgesics
COMPLIANCE! Can lead to Rheumatic Fever!
18. Pneumonia SSx - ‘Temp
- “O2
- Tachypnea
Accessory muscle use
pallor
1. Focused Respiratory Assessment •Chief complaint
• Visual inspection
• Auscultation
• Vital signs
• Pain
• Continuous pulse oximetry
• Blood gas
• Sputum and/or Culture
• X-ray
• Pulmonary function test
2. What are some nursing interven- Positioning
tions/Considerations in pediatric respira- Pulse Ox
tory patients? Suction/CPT/Incentive spirometry
O2
Meds
Emergency Preparedness
3. What are some priority respiratory as- Signs of distress? (tachypnea, accessory mus-
sessment points? cles, chest rise, coloring?)
Expected vital sign ranges.
Signs/Symptoms related to a specific disor-
der.
Adventitious breathing sounds
(What do they tell you?)
4. What oxygen saturation necessitates a < 95% SPO2
nursing intervention?
5. - Temp Checks for hypothermia
- Oxygen flow at 4-5L/Min
, What considerations are necessary when
delivering cool mist in an acute care en-
vironment?
6. What are the priority actions to ensure - Clear patients airway
airway patency and optimal lung expan- - Elevate the HOB
sion?
7. What nursing interventions should be Continuous Pulse Ox
applied for any pediatric patient admit-
ted with a respiratory concern?
8. What are the bacterial Respiratory condi- -Acute Streptococcal Pharyngitis
tions? -Bacterial epiglottitis
-Bacterial pneumonia
9. Bacterial Epiglottitis & SSx Bacterial infection of the epiglottis that swells
and blocks the airway
Drooling
Agitation
Muffled voice
No cough
Inspiratory Stridor
10. What is the priority intervention for Bac- Airway management
terial Epiglottitis? intubation
protect airway (NO tongue blades)
Continuous Pulse Ox
11. What is the recommended testing for Neck radiograph
Bacterial Epiglottitis?
12.
, What is the initial medication/treatment O2
for Bacterial Epiglottitis? IV fluids
antibiotics
Education on immunization "Hib"
13. Why is Bacterial Epiglottitis considered a -Risk of airway compromise
medical emergency? -Immediate intervention!
14. What is acute streptococcal pharyngitis? Strep throat, bacterial infection of the upper
airway
Pharyngitis, tonsillitis, fever, positive gabhs
15. What are some symptoms of Acute -Sore Throat
Streptococcal Pharyngitis? -diflculty swallowing
-mouth odor
-tonsillar exudate
16. What is the recommended testing Throat culture
method for Acute Streptococcal Pharyn-
gitis?
17. What are the priority interventions for -Meds = Penicillin, amoxicillin
Acute Streptococcal Pharyngitis? -Analgesics
COMPLIANCE! Can lead to Rheumatic Fever!
18. Pneumonia SSx - ‘Temp
- “O2
- Tachypnea
Accessory muscle use
pallor
