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The 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?
- A. Severe asthma attack
- B. Allergic response to theophylline
- C. Onset of bronchitis
- D. Drug toxicity
Correct Answer: D
Rationale: The symptoms described are the signs of theophylline toxicity.
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What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
- A. Offer plenty of fluids, particularly carbonated beverages.
- B. Place the child in a humidified cool mist tent with oxygen.
- C. Administer sedatives as ordered to decrease anxiety.
- D. Position the child with arms resting on the overbed table.
Correct Answer: D
Rationale: This position is comfortable and allows maximum use of the accessory muscles for breathing.
After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for __ months.
Correct Answer: 9
Rationale: Antiviral medications for RSV can interfere with the immune response to vaccinations, requiring a 9-month delay.
Which statement indicates that the child's parents understand how to perform respiratory therapy?
- A. We do her postural drainage before the aerosol therapy.'
- B. We give her respiratory treatments when she is coughing a lot.'
- C. We give the aerosol followed by postural drainage before meals.'
- D. She needs respiratory therapy every day when she has an infection.'
Correct Answer: C
Rationale: Postural drainage for the child with CF is done following nebulization. Therapy is best scheduled before meals or at least 1 hour after eating to prevent vomiting.
The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply.)
- A. Swimming
- B. Gymnastics
- C. Baseball
- D. Cross-country skiing
- E. Distance running
Correct Answer: A,B,C
Rationale: Sports that require bursts of energy rather than long-term output of energy are suitable pursuits for asthmatics.
What 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?
- A. Acetaminophen and plenty of fluids
- B. Oral penicillin for 10 days
- C. Penicillin until his sore throat is gone
- D. Streptococcus immunization
Correct Answer: B
Rationale: When a throat culture is positive for group A beta-hemolytic streptococcus, penicillin is administered for 10 days even if symptoms are alleviated before the medication is finished.