Nokea
The school nurse suspects a first-grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.)
- A. Child reports tooth pain.
- B. Severe wheezing is auscultated on inspiration.
- C. Child reports, 'I have had a cold for 2 weeks.'
- D. Nurse observes periorbital swelling.
- E. Halitosis is present.
Correct Answer: A,C,D,E
Rationale: The proximity of the sinus to the tooth roots often results in tooth pain when the sinus is infected.
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What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
- A. Stuffed toys
- B. Pet ownership
- C. Gymnastics
- D. Basketball
- E. Cotton blankets
Correct Answer: A,B,D
Rationale: Stuffed toys and pet ownership can trigger asthma due to allergens, and basketball requires prolonged energy output, which may exacerbate symptoms.
What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?
- A. Fine crackles
- B. Coarse rhonchi
- C. Expiratory wheezing
- D. Decreased breath sounds at lung bases
Correct Answer: C
Rationale: The child experiencing an acute asthma attack wheezes as air moves in and out of the narrowed airways. The expiratory wheeze is most pronounced.
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.
The nurse is caring for a 3-year-old child who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure?
- A. 2 hours
- B. 4 hours
- C. 18 hours
- D. 72 hours
Correct Answer: D
Rationale: Pulmonary edema appears in a child with smoke inhalation injury 6 to 72 hours after exposure.
The nurse is caring for a toddler with acute laryngotracheobronchitis. Which assessment finding would indicate the child is experiencing increased respiratory obstruction?
- A. Restlessness
- B. Tachycardia
- C. Brassy cough
- D. Expiratory wheezing
Correct Answer: A
Rationale: Restlessness is a primary sign of increased respiratory obstruction.