Wongs Essentials of Pediatric Nursing 9 Part 2 of 2 By Maryln
Wongs Essentials of Pediatric Nursing 9 Part 2 of 2 By Maryln
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Chapter 23: The Child with Respiratory Dysfunction
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | The amount of lymphoid tissue decreases. |
| b. | Repeated exposure to organisms causes increased immunity. |
| c. | Viral organisms are less prevalent in the population. |
| d. | Secondary infections rarely occur after viral illnesses. |
ANS: B
Children have increased immunity after exposure to a virus. The amount of lymphoid tissue increases as children grow older. Viral organisms are not less prevalent, but older children have the ability to resist invading organisms. Secondary infections after viral illnesses include Mycoplasma pneumoniae and group A b-hemolytic streptococcal infections.
PTS: 1 DIF: Cognitive Level: Understand REF: 707
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
| a. | Dyspnea |
| b. | Tachypnea |
| c. | Hypopnea |
| d. | Orthopnea |
ANS: A
Dyspnea is labored breathing. Tachypnea is rapid breathing. Hypopnea is breathing that is too shallow. Orthopnea is difficulty breathing except in upright position.
PTS: 1 DIF: Cognitive Level: Remember REF: 709
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
| a. | They are safer. |
| b. | They are less expensive. |
| c. | Respiratory secretions are dried. |
| d. | A more comfortable environment is produced. |
ANS: A
Cool-mist vaporizers are safer than steam vaporizers, and little evidence exists to show any advantages to steam. The cost of cool-mist and steam vaporizers is comparable. Steam loosens secretions, not dries them. Both may promote a more comfortable environment, but cool-mist vaporizers present decreased risk for burns and growth of organisms.
PTS: 1 DIF: Cognitive Level: Understand REF: 708
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
| a. | Avoid using for more than 3 days. |
| b. | Keep drops to use again for nasal congestion. |
| c. | Administer drops until nasal congestion subsides. |
| d. | Administer drops after feedings and at bedtime. |
ANS: A
Vasoconstrictive nose drops such as phenylephrine (Neo-Synephrine) should not be used for more than 3 days to avoid rebound congestion. Drops should be discarded after one illness because they may become contaminated with bacteria. Vasoconstrictive nose drops can have a rebound effect after 3 days of use. Drops administered before feedings are more helpful.
PTS: 1 DIF: Cognitive Level: Apply REF: 709
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
| a. | Give tepid water baths to reduce fever. |
| b. | Encourage food intake to maintain caloric needs. |
| c. | Have child wear heavy clothing to prevent chilling. |
| d. | Give small amounts of favorite fluids frequently to prevent dehydration. |
ANS: D
Preventing dehydration by small frequent feedings is an important intervention in the febrile child. Tepid water baths may induce shivering, which raises temperature. Food should not be forced; it may result in the child vomiting. The febrile child should be dressed in light, loose clothing.
PTS: 1 DIF: Cognitive Level: Apply REF: 710
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
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