Ch47: Respiratory FXN

Question 135809
Id:
135809
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A toddler has had recurrent respiratory infections. The mother of the child expresses concern that her infant
seems to be at increased risk for complications from respiratory infections in comparison with her older
children. The best response from the nurse would be:
Stimulus
Answer
Choice 1
"You are incorrect in your assessment."
Rationale 1
The mother is correct in her statement.
Answer 1
false
Choice 2
"The younger childs airways are smaller and more easily occluded."
Rationale 2
Airways are smaller in the younger child and are more easily occluded when
mucus is produced.
Answer 2
true
Choice 3
"Air passages are more likely to become blocked with mucus because
younger children make more mucus than older children."
Rationale 3
Blockage of air passages with mucus is not related to the age of the child but
more to the etiology of mucus production and the continuation of the
causative agent.
Answer 3
false
Choice 4
"Toddlers do not breathe as deeply as do older children."
Rationale 4
Depth of breathing is not age-dependent.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Nursing Process: Implementation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126164
Source Chapter Number:

Source Chapter Title:
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47.1 Describe unique characteristics of the pediatric respiratory system

anatomy and physiology and apply that information to the care of children
with respiratory conditions.
Question 135811
Id:
135811
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
Which nursing diagnosis would be most appropriate for an infant with acute bronchiolitis due to respiratory
syncytial virus (RSV)?
Stimulus
Answer
Choice 1
Activity intolerance
Rationale 1
Activity intolerance is a problem because of the imbalance between oxygen

supply and demand.
Answer 1
true
Choice 2
Tissue perfusion, ineffective (peripheral)
Rationale 2
Tissue perfusion (peripheral) is not affected by this respiratory disease

process.
Answer 2
false
Choice 3
Pain, acute
Rationale 3
Pain is not usually associated with acute bronchiolitis.
Answer 3
false
Choice 4
Decreased cardiac output
Rationale 4
Cardiac output is not compromised during an acute phase of bronchiolitis.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Nursing Process: Diagnosis
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126171

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.5 Distinguish between conditions of the lower respiratory tract that cause
illness in children.
Question 135813
Id:
135813
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A two-year-old male child arrived in the emergency department with complaints of sore throat, difficulty
swallowing, and suspected diagnosis of acute epiglottitis. Which of the following interventions should not be
included in the child's immediate care and assessment?
Stimulus
Answer
Choice 1
Throat culture
Rationale 1
Throat cultures should never be done when a diagnosis of epiglottis is

suspected. Manipulation of the throat can stimulate the gag reflex in an
already inflamed airway and can cause complete occlusion of the airway.
Answer 1
true
Choice 2
Medical history
Rationale 2
Medical history should be obtained, which assists in diagnosis.
Answer 2
false
Choice 3
Vital signs
Rationale 3
Vital signs should always be taken when assessment is done.
Answer 3
false
Choice 4
Assessment of breath sounds
Rationale 4
Assessment of breath sounds is essential for diagnosis.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126173

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.6 Create a nursing care plan for a child with a common acute respiratory
condition.
Question 135814
Id:
135814
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The family rushes a four-month-old infant to the hospital after finding the infant not breathing. The child is
diagnosed as a victim of sudden infant death syndrome. Supportive care for this family would include:
Stimulus
Answer
Choice 1
Sheltering parents from the grief by not giving them any personal items of
the infant, such as footprints.
Rationale 1
Parents will want any personal items available.
Answer 1
false
Choice 2
Allowing parents to hold, touch, and rock the dead infant.
Rationale 2
The parents should be allowed to hold, touch, and rock the infant, giving
them a chance to say good-bye to their baby.
Answer 2
true
Choice 3
Advising parents that an autopsy is not necessary.
Rationale 3
The death of an infant without a known medical condition is an indication

for an autopsy.
Answer 3
false
Choice 4
Interviewing parents to determine the cause of the SIDS incident.
Rationale 4
The parents need to know that SIDS is not their fault.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126176

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
condition.
Question 135815
Id:
135815
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is teaching a group of mothers of infants about the benefits of immunization. The nurse will explain
that the life-threatening disease epiglottitis can be prevented by immunization against:
Stimulus
Answer
Choice 1
Hepatitis B.
Rationale 1
Hepatitis B, measles, mumps, rubella, and the polio virus are not causative
agents for epiglottitis.
Answer 1
false
Choice 2
Polio.
Rationale 2
Answer 2
false
Choice 3
Measles, mumps, and rubella (MMR).
Rationale 3
Answer 3
false
Choice 4
Haemophilus influenzae type B (HIB).
Rationale 4
The Haemophilus influenzae type B (HIB) immunization can assist in

prevention of epiglottitis.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Nursing Process: Planning
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126177

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.2 Contrast the different respiratory conditions and injuries that can cause
respiratory distress in infants and children.
Question 135816
Id:
135816
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the
child's urine is orange. The nurse should advise the parents to:
Stimulus
Answer
Choice 1
Encourage the child to drink cranberry juice.
Rationale 1
Orange urine does not mean the child has a urinary tract infection, and a
urinalysis, radiograph, and encouragement of cranberry juice would not be
options.
Answer 1
false
Choice 2
Expect orange-colored urine while the child is on rifampin.
Rationale 2
Rifampin can color the urine orange, so the parents and child should be
taught that this is an expected side effect.
Answer 2
true
Choice 3
Bring the child to the clinic for a urinalysis.
Rationale 3
options.
Answer 3
false
Choice 4
Bring the child to the clinic for a radiograph of the kidneys.
Rationale 4
options.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126178

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
condition.
Question 135817
Id:
135817
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is evaluating the parent's understanding of teaching related to environmental control for their child's
asthma management. Which statement by the parents indicates that they understand the teaching?
Stimulus
Answer
Choice 1
"We're glad the dog can continue to sleep in our child's room."
Rationale 1
When possible, pets and plants should not be kept in the home.
Answer 1
false
Choice 2
"We'll keep the plants in our child's room dusted."
Rationale 2
When possible, pets and plants should not be kept in the home.
Answer 2
false
Choice 3
"We'll be sure to use the fireplace often to keep the house warm in the
winter."
Rationale 3
Smoke from fireplaces should be eliminated.
Answer 3
false
Choice 4
"We will replace the carpet in our child's bedroom with tile."
Rationale 4
Control of dust in the child's bedroom is an important aspect of

environmental control for asthma management.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Nursing Process: Evaluation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126180

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.7 Develop a school-based nursing care plan for a child with asthma.
Question 135818
Id:
135818
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A newborn who is 24 hours old is suspected of having cystic fibrosis. As the child is being prepared for
transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic
fibrosis. The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is:
Stimulus
Answer
Choice 1
Rectal prolapse.
Rationale 1
Rectal prolapse is a complication of the large, bulky fatty stools.
Answer 1
false
Choice 2
Constipation.
Rationale 2
Constipation is not a symptom of cystic fibrosis.
Answer 2
false
Choice 3
Steatorrheic stools.
Rationale 3
Steatorrhea and rectal prolapse might be signs of cystic fibrosis seen in an

older infant or child.
Answer 3
false
Choice 4
Meconium ileus.
Rationale 4
Newborns with cystic fibrosis might present in the first 48 hours with
meconium ileus.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Nursing Process: Assessment
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126181

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 135819
Id:
135819
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is teaching the parents of a patient who is newly diagnosed with cystic fibrosis how to administer
the pancreatic enzymes. The nurse will advise the parents to administer the enzymes:
Stimulus
Answer
Choice 1
qid (four times daily).
Rationale 1
A scheduled time would not be appropriate because the enzymes are used to
assist in digestion of nutrients.
Answer 1
false
Choice 2
bid (twice daily).
Rationale 2
Answer 2
false
Choice 3
With meals and snacks.
Rationale 3
Pancreatic enzymes are administered with meals and large snacks.
Answer 3
true
Choice 4
Every six hours around the clock.
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126182

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 135820
Id:
135820
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A mother of a three-year-old tells the nurse that her child often puts small toys in his mouth and she is
concerned about choking. She asks the nurse what she should do if the child chokes. In addition to
recommending the mother take a CPR course, the best response by the nurse would be to:
Stimulus
Answer
Choice 1
Show the mother how to do cardiac compressions and rescue breathing.
Rationale 1
Cardiac compressions and rescue breathing is not the first thing that the
mother needs to know.
Answer 1
false
Choice 2
Recommend the mother perform back blows and chest thrusts.
Rationale 2
This is the treatment for a choking infant, not a child.
Answer 2
false
Choice 3
Teach the mother how to perform abdominal thrusts.
Rationale 3
Giving abdominal thrusts is the correct intervention for a choking child.
Answer 3
true
Choice 4
Tell the mother to do nothing until the child loses consciousness.
Rationale 4
The mother should respond to the choking child before the child loses
consciousness.
Answer 4
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126165

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 135821
Id:
135821
Type:
MCMA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A premature infant develops acute respiratory distress syndrome (ARDS). How will the nurse position the
baby?
Standard Text
Select all that apply.
Stimulus
Answer
Choice 1
Upright
Rationale 1
An infant cannot be placed in an upright position.
Answer 1
false
Choice 2
Semi-Fowlers position
Rationale 2
The semi-Fowlers position elevates the head of bed. This allows better
movement of the diaphragm.
Answer 2
true
Choice 3
Prone position
Rationale 3
Prone positioning will not promote respirations.
Answer 3
false
Choice 4
With his head hyperextended
Rationale 4
The head should not be hyperextended as that position does not open the
airway in an infant.
Answer 4
false
Choice 5
With his head in a sniffing position
Rationale 5
A sniffing position straightens and shortens the airway and is the position
that is best.
Answer 5
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126166

Source Au Title Ed:
Source Usage:
Writer First Name:
admin
Writer Last Name:

Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
condition.
Question 135823
Id:
135823
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
After a routine vaginal delivery, the infant transitions with the mother in the recovery room without difficulty.
Prior to being discharged from the recovery room, it is noted that the infants respiratory rate is 102 and the
lungs are clear to auscultation. Based on these findings, an appropriate transfer for this infant would be to:
Stimulus
Answer
Choice 1
The newborn nursery for the first bath.
Rationale 1
The infant is tachypneic. Bathing will only add to the respiratory distress and
should be avoided.
Answer 1
false
Choice 2
The NICU and placed under an over-bed warmer for observation.
Rationale 2
This infant needs to remain under constant observation due to the respiratory
rate.
Answer 2
true
Choice 3
To the mothers room to promote bonding with the parents.
Rationale 3
The infant needs to be monitored.
Answer 3
false
Choice 4
The newborn nursery for its first feeding.
Rationale 4
With a respiratory rate this high, aspiration is likely so feeding should be

avoided.
Answer 4
false
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Nursing Process: Planning
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126169

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.4 Assess the childs respiratory status and analyze the need for oxygen
supplementation.
Question 135824
Id:
135824
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A two-month-old infant is a direct admission to the pediatric unit with a diagnosis of ALTE (apparent lifethreatening event). The physician is to see the infant to write medical orders. The nurse completes the nursing
history and performs an assessment and finds no abnormal findings. While waiting on the physician, which
activity can the nurse perform independently?
Stimulus
Answer
Choice 1
Place the child on an apnea monitor.
Rationale 1
This is appropriate monitoring of the infant.
Answer 1
true
Choice 2
Place the child on nasal cannula oxygen.
Rationale 2
Oxygen is a dependent order except under emergency situations. There is no

evidence the child needs oxygen.
Answer 2
false
Choice 3
Draw blood for arterial blood gases.
Rationale 3
Lab tests are not an independent action.
Answer 3
false
Choice 4
Place the child on contact isolation.
Rationale 4
There is no indication of a respiratory infection. At this time, contact

isolation is not indicated.
Answer 4
false
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126170

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.4 Assess the childs respiratory status and analyze the need for oxygen
supplementation.
Question 135825
Id:
135825
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
An infant was born at 34 weeks gestation and is being treated in the NICU for apnea of prematurity. The
infant is in an isolette with an apnea monitor and intravenous fluids. The apnea monitor sounds, and the nurse
checks the infant to find the infant is not breathing. The initial intervention by the nurse would be to:
Stimulus
Answer
Choice 1
Administer oxygen.
Rationale 1
If the infant is not breathing, oxygen will not help.
Answer 1
false
Choice 2
Perform back blows and chest thrusts.
Rationale 2
This is intervention for choking, not apnea.
Answer 2
false
Choice 3
Call a code.
Rationale 3
A code is not the initial response. If the nurse is unable to restart breathing,
then a code should be initiated.
Answer 3
false
Choice 4
Stroke the infants back.
Rationale 4
Tactile stimulation is often sufficient to restart the infants respirations.

Apnea of prematurity is due to immaturity of the respiratory center.
Answer 4
true
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126174

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 135826
Id:
135826
Type:
MCMA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A child is being discharged from the hospital following treatment of asthma. Discharge medications include
cromolyn sodium (a mast cell stabilizer). Nursing instructions to the parents about this medication would
include explaining:
Standard Text
Select all that apply.
Stimulus
Answer
Choice 1
The medication works to prevent exacerbations.
Rationale 1
This statement is true. Cromolyn Sodium is used to inhibit an asthmatic

response to allergens.
Answer 1
true
Choice 2
The medication should be administered at the first symptom of an asthmatic

attack.
Rationale 2
This is incorrect. This medication does not improve the childs condition
during an asthmatic attack.
Answer 2
false
Choice 3
The medication should be taken on a daily basis.
Rationale 3
This is a preventative medication so doses should not be missed.
Answer 3
true
Choice 4
Avoid taking the medication if the child has symptoms of a cold.
Rationale 4
The medication should be taken daily.
Answer 4
false
Choice 5
The medication desensitizes the child against specific allergens.
Rationale 5
This medication does not desensitize the child against allergens.
Answer 5
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126175

Source Au Title Ed:
Source Usage:
Writer First Name:
admin
Writer Last Name:

Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 135827
Id:
135827
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse stops at the scene of an accident and finds a child conscious but with a sucking wound of the chest.
The immediate action by the nurse would be to:
Stimulus
Answer
Choice 1
Place the child in trendelenburg.
Rationale 1
This would not be the appropriate response to a sucking chest wound.
Answer 1
false
Choice 2
Begin rescue breathing.
Rationale 2
The child is conscious. Rescue breathing is not appropriate at this time.
Answer 2
false
Choice 3
Begin cardiac resuscitation.
Rationale 3
There is no need for cardiac resuscitation at this time.
Answer 3
false
Choice 4
Cover the wound with an air occlusive dressing.
Rationale 4
This prevents more air from entering the chest and is appropriate.
Answer 4
true
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
126179

Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
47.8 Develop a home nursing care plan for the child with cystic fibrosis.

Ch47: Respiratory FXN

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Question 135809

"You are incorrect in your assessment."

The mother is correct in her statement.

"Toddlers do not breathe as deeply as do older children."

Depth of breathing is not age-dependent.

Nursing Process: Implementation

Source Chapter Number:

47.1 Describe unique characteristics of the pediatric respiratory system

Activity intolerance is a problem because of the imbalance between oxygen

Tissue perfusion, ineffective (peripheral)

Tissue perfusion (peripheral) is not affected by this respiratory disease

Pain is not usually associated with acute bronchiolitis.

Decreased cardiac output

Cardiac output is not compromised during an acute phase of bronchiolitis.

Nursing Process: Diagnosis

Source Chapter Number:

Throat cultures should never be done when a diagnosis of epiglottis is

Medical history should be obtained, which assists in diagnosis.

Vital signs should always be taken when assessment is done.

Assessment of breath sounds

Assessment of breath sounds is essential for diagnosis.

Nursing Process: Implementation

Source Chapter Number:

Parents will want any personal items available.

Allowing parents to hold, touch, and rock the dead infant.

Advising parents that an autopsy is not necessary.

The death of an infant without a known medical condition is an indication

Interviewing parents to determine the cause of the SIDS incident.

The parents need to know that SIDS is not their fault.

Nursing Process: Implementation

Source Chapter Number:

Measles, mumps, and rubella (MMR).

Haemophilus influenzae type B (HIB).

The Haemophilus influenzae type B (HIB) immunization can assist in

Nursing Process: Planning

Source Chapter Number:

Encourage the child to drink cranberry juice.

Expect orange-colored urine while the child is on rifampin.

Bring the child to the clinic for a urinalysis.

Bring the child to the clinic for a radiograph of the kidneys.

Nursing Process: Implementation

Source Chapter Number:

"We'll keep the plants in our child's room dusted."

Smoke from fireplaces should be eliminated.

Control of dust in the child's bedroom is an important aspect of

Nursing Process: Evaluation

Source Chapter Number:

Rectal prolapse is a complication of the large, bulky fatty stools.

Constipation is not a symptom of cystic fibrosis.

Steatorrhea and rectal prolapse might be signs of cystic fibrosis seen in an

Nursing Process: Assessment

Source Chapter Number:

qid (four times daily).

bid (twice daily).

With meals and snacks.

Pancreatic enzymes are administered with meals and large snacks.

Every six hours around the clock.

Nursing Process: Implementation

Source Chapter Number:

Show the mother how to do cardiac compressions and rescue breathing.

Recommend the mother perform back blows and chest thrusts.

This is the treatment for a choking infant, not a child.

Teach the mother how to perform abdominal thrusts.

Giving abdominal thrusts is the correct intervention for a choking child.