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A 5 month old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention?
A Attempt to calm the infant by placing him in his mother’s lap and offering him a bottle.
B Alert the physician to the situation and ask for an order for a stat chest x-ray.
C Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
D Bring the emergency equipment to the room and begin bag-valve-mask ventilation
C Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
Raise the HOB, make sure they are hydrated after sucking secretions and because they are breathing fast
A 4-year-old boy needs to use a metered-dose inhaler to treat asthma. He cannot coordinate the breathing to use it effectively. The nurse should suggest that he use a :
A spacer
B nebulizer
C peak expiratory flowmeter
D trial of chest physiotherapy
A spacer
The mother of a 20-month old boy tells the nurse that he has a barking cough at night. His temperature is 37 degrees C. The nurse suspects croup. What should she recommend?
A Control fever with acetaminophen and call if cough gets worse tonight
B Try a cool-mist vaporizer at night and watch for signs of difficulty breathing
C Try over-the-counter medicine and come to the clinic tomorrow if no improvement
D Admit to the hospital and observe for impending epiglottitis
B Try a cool-mist vaporizer at night and watch for signs of difficulty breathing
A 4-year old girl is brought to the ED. She has “froglike” croaking sounds on inspiration, is agitated, and is drooling. She insists on sitting upright. what should the nurse do?
A Examine her oral pharynx and report to the physician
B Make her lie down and rest quietly
C Auscultate her lungs, and make preparations for placement in a mist tent.
D Notify the physician immediately and be prepared to assist with a tracheostomy or intubation
D Notify the physician immediately and be prepared to assist with a tracheostomy or intubation
A 3-month-old male was admitted to the hospital with the following symptoms: a fever for the past few days, seems cranky, has about 14-16 wet diapers per day, and is feeding poorly.
What symptoms would alert you to a G/U condition in the infant?
Multiple answers:
You can select more than one option
A Cranky B Fever C Poor feeding D 14-16 wet diapers E Age
A Cranky B Fever C Poor feeding D 14-16 wet diapers E Age
crankiness is a sign of irritability in infants
A 6-year-old was admitted to the pediatric floor for suspected renal failure. What interventions should the nurse anticipate including in the plan of care?
Multiple answers:
You can select more than one option
A Assess for dehydration B Daily Weights C Strict I&O D Assess for fluid overload E Monitor vital signs
A Assess for dehydration B Daily Weights C Strict I&O D Assess for fluid overload - edema, crackles, sweat E Monitor vital signs
assess for dehydration b/c there can be significant fluid shifts due to the loss of albumin
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
A “I will keep my baby in an upright position after feedings.”
B “My baby’s formula can be thickened with oatmeal.”
C “I will have to feed my baby formula rather than breastmilk.”
D “I should position my baby side-lying during sleep.”
A “I will keep my baby in an upright position after feedings.”
you thicken with rice, not oatmeal
back to sleep
A nurse is providing teaching to the parent of a child diagnosed with celiac disease. The nurse should include which of the following as an acceptable food choice for this child? A Barley B Rye C Rice D Wheat
C Rice
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure? A Decreased heart rate B Decreased respiratory rate C Increased formula consumption D Increased crying episodes
D Increased crying episodes
A nurse is caring for a 6-week-old infant client who was admitted to the pediatric unit for evaluation of a suspected pyloric stenosis. Which of the following nursing assessments is consistent with this diagnosis? A Distended abdomen B Effortless regurgitation C Metabolic acidosis D Projectile vomiting
D Projectile vomiting
