Chapter 25 The Child with a Respiratory Disorder

Chapter 25  The Child with a Respiratory Disorder

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. 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

ANS: B
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.

DIF: Cognitive Level: Comprehension REF: Page 580 OBJ: N/A
TOP: Acute Pharyngitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

2. 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.

ANS: C
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.

DIF: Cognitive Level: Application REF: Page 582 OBJ: 5
TOP: Croup Syndromes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

3. 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

ANS: A
Hemorrhage is the most common postoperative complication. Blood trickling down the back of the child’s throat could cause frequent swallowing.

DIF: Cognitive Level: Comprehension REF: Page 588 OBJ: 8
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk

4. What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?
a.
A popsicle
b.
Chocolate milk
c.
Orange juice
d.
Cola drink

ANS: A
Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural juices. A popsicle is usually well-tolerated.

DIF: Cognitive Level: Application REF: Page 588 OBJ: 8
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

5. When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report?
a.
Respiration rate decrease from 40 to 32 breaths/min
b.
Heart rate decrease from 110 to 100 beats/min
c.
“Quiet chest” from previous assessment of wheezing
d.
Oxygen saturation of 90%

ANS: C
A “quiet chest” after assessment of wheezing indicates occlusion of air pathways and impending respiratory arrest. All other options are within normal range for infants undergoing oxygen administration.

DIF: Cognitive Level: Analysis REF: Page 584 OBJ: 15
TOP: Respiratory Syncytial Virus (RSV)
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation