Peds TEST-BANK20/Chapter 20: Alterations in Respiratory Function

1. When caring for children with respiratory issues in relationship to the anatomy and physiology of the child's respiratory system, it is important to recognize which of the following? A. The diameter of the child's trachea is about the size of the child's little finger. B. As soon as the child is born, respiratory passages needed during fetal life close. C. Full development of the lungs and respiratory organs involved does not occur until the child is an adolescent. D. The newborn uses the thoracic muscles to breathe, and as they grow they begin using the abdominal muscles to breathe. ANS: A Rationale: The diameter of the infant's and child's trachea is about the size of the child's little finger. This small diameter makes it extremely important to be aware that something can easily lodge in this small passageway and obstruct the child's airway. PTS: 1 REF: p. 291 OBJ: 1 NAT: Client Needs: Physiological Integrity: Physiological Adaptation TOP: Chapter 20: Respiratory Disorders BLM: Cognitive Level: Understand 2. The nurse is assisting in the development of a plan of care for a child with asthma. In planning care, many goals would be appropriate for this child and/or family caregiver. Which two goals would be the highest priority for this child or family? A. The child will maintain a clear airway. B. The child will have adequate fluid intake. C. The child and family will connect with families living with the same diagnosis. D. The child and family will improve knowledge and understanding of varied pharmacologic options. E. The child will maintain adequate pain control. ANS: A, B Rationale: Treatment and management of asthma centers around avoiding triggers and controlling inflammatory episodes. Keeping the airway open is always the priority (ABCs). The next physiologic need is adequate fluid intake. These are priorities over psychosocial considerations such as connecting with other families. Pain is not normally an issue. The family does not need to understand every available pharmacologic option. They need to understand the action plan for their child. PTS: 1 REF: p. 239-234 OBJ: 8 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter 20: Respiratory Disorders BLM: Cognitive Level: Analyze 3. The nurse is caring for a 2-year-old diagnosed with bacterial pneumonia. The child has been placed in a mist tent. In caring for the child, it is important for the nurse to: A. monitor the child regularly for signs of cyanosis. B. avoid contact with the mist if the nurse is a sexually active female of childbearing age. C. use contact transmission precautions. D. check for hyperthermia related to enclosure in the tent. TEST BANK FOR PEDIATRIC NURSING 1ST BY TAGHER WWW.NURSING-TESTBANK.COM N U R S I N G - T E S T B A N K . C O M ANS: A Rationale: In some treatment of bacterial pneumonia a croupette or mist tent is used. Children have become cyanotic in mist tents, with subsequent arrest, due to the lack of visibility while in the tent; the child must be constantly observed. Ribavirin, an antiviral drug that may be used to treat certain children with RSV, is administered as an inhalant by hood, mask, or tent; it has a high risk for teratogenicity