Nokea
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.
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What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- A. Pancreatic enzymes
- B. Water-soluble minerals
- C. Fat-soluble vitamins
- D. Salt supplements
Correct Answer: A
Rationale: An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce.
The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate?
- A. Bleeding from the surgical site
- B. Pain at the incision area
- C. Sore throat from postnasal drip
- D. Potential vomiting
Correct Answer: A
Rationale: Hemorrhage is the most common postoperative complication. Blood trickling down the back of the child's throat could cause frequent swallowing.
What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?
- A. Before exercise to prevent attacks
- B. At the initial onset of the attack
- C. During the attack to relieve symptoms
- D. As often as 4 times a day
Correct Answer: A
Rationale: Anti-inflammatory inhalants are taken before exercise to prevent attacks.
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.
The nurse describes the 'allergic salute' as a cluster of what signs related to chronic allergy? (Select all that apply.)
- A. Mouth breathing
- B. Transverse nasal crease
- C. Dark circles under the eyes
- D. Productive cough
- E. Reddened conjunctiva
Correct Answer: A,B,C,E
Rationale: The allergic salute does not include a productive cough.