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Chapter 11: Respiratory Disorders
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Chapter 11: Respiratory Disorders

Pediatric Nursing The Critical Components of Nursing Care 1st Edition by Kathryn Rudd

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Chapter 11: Respiratory Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

  1. An 8-year-old child with a history of cystic fibrosis has a chest that is larger than normal. This type of feature on a child is known as:
  2. A concaved chest.
  3. A barrel chest.
  4. An asymmetrical chest.
  5. All of the above are correct.

 

ANS: 2

  Feedback
1. The chest does not bow inward in a child with cystic fibrosis.
2. A barrel chest is common in a child with cystic fibrosis because of the air trapping that occurs within the lungs.
3. The chest is symmetrical in appearance with cystic fibrosis.
4. Not all of the options are correct.

KEY: Content Area: Respiratory | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Comprehension | REF: Chapter 11 | Type: Multiple Choice

 

 

 

  1. When a nurse enters the room of a child with chronic lung disease, she notes that the child is sitting in a tripod position. Identify the reason for this positioning by the child.
  2. The child feels more comfortable playing in this position.
  3. The child is attempting to have a bowel movement.
  4. The child is having trouble breathing, and the position is comfortable
  5. The child is in a resting position after walking in the hallway.

 

ANS: 3

  Feedback
1. The child may feel comfortable in this position, but it is not the primary reason for the positioning.
2. A child will squat on their haunches when having a bowel movement.
3. The tripod position enables the diaphragm to fully expand and attempt to get as much oxygen into the body as possible.
4. A child who is resting will sit or lie down on the bed.

KEY: Content Area: Respiratory | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Application | REF: Chapter 11 | Type: Multiple Choice

 

 

 

  1. When a child exhibits difficulty breathing, the best positioning would be:
  2. Having the head of the bed at 45 degrees.
  3. Placing the child in a 90 degree angle on the parent’s lap.
  4. Placing the child in a side lying position.
  5. Having the child sit in a chair.

 

ANS: 1

  Feedback
1. Positioning the head of the bed slightly elevated will take weight off of the diaphragm and allow for full chest expansion.
2. Placing the child at a 90 degree angle will put too much pressure on the diaphragm, thus causing the shortness of breath to continue.
3. A side lying position does not help to support the diaphragm or aid in relieving the shortness of breath.
4. Sitting in a chair will place more stress on the accessory muscles, thus the child will continue to have shortness of breath.

KEY: Content Area: Respiratory | Integrated Processes: Care | Client Need: Physiological Integrity | Cognitive Level: Application | REF: Chapter 11 | Type: Multiple Choice

 

 

 

  1. A father is concerned that his newborn baby girl is cold because her hands are blue. The nurse explains to the father that:
  2. This is a sign of respiratory distress, and the baby needs to return to the nursery.
  3. Most newborns have trouble regulating their body temperature.
  4. This is acrocyanosis and should go away within 48 hours after her birth.
  5. This is bruising the baby received during the birth process.

 

ANS: 3

  Feedback
1. Respiratory distress would be noted if the newborn had circumoral cyanosis.
2. Healthy newborns are able to regulate their body temperature soon after birth if dressed for the environment.
3. The newborn is exhibiting acrocyanosis. It is not a sign of coldness.
4. Bruising usually does not occur on the hands.

KEY: Content Area: Assessment | Integrated Processes: Teaching/Documentation | Client Need: Physiological Integrity | Cognitive Level: Application | REF: Chapter 11 | Type: Multiple Choice

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