Quiz
CHP 25
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Questions in this quiz (29)
1What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?
- AAcetaminophen and plenty of fluids
- BOral penicillin for 10 days
- CPenicillin until his sore throat is gone
- DStreptococcus immunization
2Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
- ATake the child outside in the cool air.
- BBring the child directly to the emergency department.
- CTake the child to the bathroom and turn on a hot shower.
- DHave the child drink plenty of fluids.
3The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate?
- Ableeding from the surgical site
- Bpain at the incision area
- Csore throat from postnasal drip
- Dpotential vomiting
4What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?
- Aa popsicle
- Bchocolate milk
- Corange juice
- Dcola drink
5When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report?
- ARespiration rate decrease from 40 to 32 breaths/min
- BHeart rate decrease from 110 to 100 beats/min
- CQuiet chest from previous assessment of wheezing
- DOxygen saturation of 90%
6What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?
- Afine crackles
- Bcoarse rhonchi
- Cexpiratory wheezing
- Ddecreased breath sounds at lung bases
7What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
- AOffer plenty of fluids, particularly carbonated beverages.
- BPlace the child in a humidified cool mist tent with oxygen.
- CAdminister sedatives as ordered to decrease anxiety.
- DPosition the child with arms resting on the overbed table.
8What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?
- Abefore exercise to prevent attacks
- Bat the initial onset of the attack
- Cduring the attack to relieve symptoms
- Das often as 4 times a day
9The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. What is the nurses best response based on the understanding of CF?
- Aonly one parent carries the CF gene
- Bboth parents are carriers of the CF gene
- Cthe inheritance pattern is multifactorial
- Dthe result is probably a genetic mutation
10Which statement indicates that the childs parents understand how to perform respiratory therapy?
- AWe do her postural drainage before the aerosol therapy.
- BWe give her respiratory treatments when she is coughing a lot.
- CWe give the aerosol followed by postural drainage before meals.
- DShe needs respiratory therapy every day when she has an infection.
11What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- Apancreatic enzymes
- Bwater-soluble minerals
- Cfat-soluble vitamins
- Dsalt supplements
12How would the nurse advise a mother to clear the nostrils when her infant has a cold?
- AClear the nasal passages after the infant has a feeding.
- BUse over-the-counter nose drops to clear passages.
- CRemove nasal secretions with a bulb syringe.
- DInstill saline nose drops after clearing away secretions.
13The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea. Which fluids are most appropriate?
- Aroom temperature water
- Bcarbonated beverages
- Ciced fruit juice
- Dcold milk
14The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely. What does the nurse recognize as the cause of these symptoms?
- Asevere asthma attack
- Ballergic response to theophylline
- Conset of bronchitis
- Ddrug toxicity
15The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include?
- AWrapping the infant snugly for rest periods
- BPositioning the infant prone for sleep
- CSitting the infant up in an infant seat
- DPlacing infants on their backs or sides for sleep
16An infant is hospitalized with RSV bronchiolitis. What is the priority nursing diagnosis?
- AFatigue related to increased work of breathing
- BIneffective breathing pattern related to airway inflammation and increased secretions
- CRisk for fluid volume deficit related to tachypnea and decreased oral intake
- DFear and/or anxiety related to dyspnea and hospitalization
17The nurse is caring for a toddler with acute laryngotracheobronchitis. Which assessment finding would indicate the child is experiencing increased respiratory obstruction?
- Arestlessness
- Btachycardia
- Cbrassy cough
- Dexpiratory wheezing
18The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent?
- Adiscoloration of tooth enamel
- Bhalitosis
- Cirritation of oral membranes
- Dcandidacies
19The nurse is caring for a 3-year-old who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure?
- A2 hours
- B4 hours
- C18 hours
- D72 hours
20Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?
- AProvide chest physiotherapy before meals every day.
- BAssess weight monthly.
- CAdminister pancrease with protein food at mealtime.
- DEnsure high-protein, high-calorie diet.
21The first child of a couple is being treated for bronchopulmonary dysplasia (BPD). They ask how to prevent this from happening with the child they are currently expecting. What will the nurse explain as the best way to prevent BPD?
- AMaternal intake of folic acid
- BExercise
- CPrevention of preterm birth
- DProvision of oxygen therapy to the newborn
22The nurse describes the allergic salute as a cluster of what signs related to chronic allergy? (Select all that apply.)
- AMouth breathing
- BTransverse nasal crease
- CDark circles under the eyes
- DProductive cough
- EReddened conjunctiva
23The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply.)
- ASwimming
- BGymnastics
- CBaseball
- DCross-country skiing
- EDistance running
24The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.)
- AAbdominal distention
- BVomiting
- CHiccoughing
- DJaundice
- EAbsence of stool
25What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include? (Select all that apply.)
- AInhale deeply through nose with mouth closed.
- BMake exhalation twice as long as inhalation.
- CUse medicated inhaler prior to performing breathing exercise.
- DExhale through mouth as if whistling.
- EExhale forcefully.
26A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.)
- AMaintain strict bed rest.
- BConsider age.
- CAssess developmental level.
- DImplement light play activities.
- EProvide hypnotic medication as ordered.
27The school nurse suspects a first grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.)
- AChild reports tooth pain.
- BSevere wheezing is auscultated on inspiration.
- CChild reports, I have had a cold for 2 weeks.
- DNurse observes periorbital swelling.
- EHalitosis is present.
28The nurse is caring for a 4-year-old child diagnosed with H. influenzae type B. Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply.)
- AHarsh cough
- BRestlessness
- CEdematous epiglottis
- DChild insists on lying down
- EDrooling
29What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
- AStuffed animals
- Bpet ownership
- Cgymnastics
- Dbasketball
- Ecotton blankets
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- Quiz on CHP 25, created by ALEX BO on 13/10/2022.
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- ALEX BO
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