NR 602 Quiz 3 Questions and answers 2023 Chamberlain college.

NR 602 Quiz 3 Questions and answers 2023 Chamberlain college Respiratory Infections - Leading cause of morbidity and mortality in children - Respiratory failure can develop rapidly with ominous symptoms - Be able to recognize key respiratory sounds o Croup cough vs. other coughs *Sound bit croup cough: see link under Croup* o Inspiratory stridor *Sound bit: ( o Wheezing * Sound bit: ( - Critical Sign: Tachypnea! o Respiratory Rates: Infants (birth to 12 months): 30-53 bpm (RR > 60 requires further evaluation) Toddlers (1-2 yrs): 22-37 bpm (RR > 40 requires further evaluation) Preschool (3-5 yrs): 20-28 bpm School Age (6-9 yrs): 18-25 bpm Pre-Adolescent (10-11 yrs): 18-25 bpm Adolescent (12yrs and older): 12-20 bpm o Red Flags: Tachypnea + grunting, nasal flaring, use of accessory muscles - Upper Respiratory Infections are the most common (common cold) o Most often Viral Rhinovirus, Parainfluenza, RSV, Coronavirus, human metapneumovirus Self-limiting lasting 7-10days o Peak: Spring and Winter o Common Sxs: (gradual onset) Low grade fever Nasal Congestion Sore throat, hoarseness *Hallmark: Rhinorrhea (clear at first, progresses to purulent) Cough/Sneezing o Clinical Findings: Conjunctiva: mild injection Erythematous nasal mucosa with mucus Erythematous posterior oropharynx Anterior cervical lymphadenopathy - Diagnostics: o ONLY if in doubt of URI: sore throat without drainage or cough Rapid antigen detection test (RADT): rapid strep Throat culture if RADT negative o Treatment: Supportive Care Hydration OTC antipyretics as directed (weight dose) Normal saline nasal rinse Topical menthol NO Antibiotics prophylactically o Complications: secondary infection