Nokea
Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
- A. Take the child outside in the cool air.
- B. Bring the child directly to the emergency department.
- C. Take the child to the bathroom and turn on a hot shower.
- D. Have the child drink plenty of fluids.
Correct Answer: C
Rationale: The child experiencing laryngeal spasm should be placed in a high-humidity environment, such as the bathroom with a hot shower running. The humidity liquefies secretions and reduces spasm.
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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.
Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?
- A. Provide chest physiotherapy before meals every day.
- B. Assess weight monthly.
- C. Administer pancreas with protein food at mealtime.
- D. Ensure high-protein, high-calorie diet.
Correct Answer: D
Rationale: The maintenance of adequate nutrition is essential. The diet is high in protein and calories.
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.
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 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?
- A. Discoloration of tooth enamel
- B. Halitosis
- C. Irritation of oral membranes
- D. Candidiasis
Correct Answer: D
Rationale: Inhalant powders can cause candidiasis (yeast) infection of the mouth.