Chapter 25 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 25

Question 1

Type: MCSA

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:

1. “You are incorrect in your assessment.”
2. “The younger child’s airways are smaller and more easily occluded.”
3. “Air passages are more likely to become blocked with mucus because younger children make more mucus than older children.”
4. “Toddlers do not breathe as deeply as do older children.”

Correct Answer: 2

Rationale 1: The mother is correct in her statement.

Rationale 2: Airways are smaller in the younger child and are more easily occluded when mucus is produced.

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.

Rationale 4: Depth of breathing is not age-dependent.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-1

 

Question 2

Type: MCSA

A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to perform which intervention?

1. Administer antibiotics and assist with possible intubation.
2. Obtain a sputum specimen.
3. Swab the throat for a throat culture.
4. Administer nebulized epinephrine and oral or IM dexamethasone.

Correct Answer: 4

Rationale 1: Antibiotic administration and possible intubation are associated with epiglottitis.

Rationale 2: Sputum specimens will not assist in the diagnosis of LTB.

Rationale 3: Throat cultures are not obtained for LTB, because it is viral, and swabbing the throat could cause complete obstruction to occur.

Rationale 4: Nebulized epinephrine and dexamethasone are given for LTB.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 25-3

 

Question 3

Type: MCSA

Which nursing diagnosis would be most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?

1. Activity intolerance
2. Tissue perfusion, ineffective (peripheral)
3. Pain, acute
4. Decreased cardiac output

Correct Answer: 1

Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and demand.

Rationale 2: Tissue perfusion (peripheral) is not affected by this respiratory disease process.

Rationale 3: Pain is not usually associated with acute bronchiolitis.

Rationale 4: Cardiac output is not compromised during an acute phase of bronchiolitis.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 25-5

 

Question 4

Type: MCSA

A child is admitted to the hospital with pneumonia. The child’s oximetry reading is 88% upon admission to the pediatric floor. The priority nursing activity for this child would be to:

1. Begin administration of intravenous fluids.
2. Obtain a blood sample to send to the lab for electrolyte analysis.
3. Begin oxygen per nasal cannula at 1 liter.
4. Medicate for pain.

Correct Answer: 3

Rationale 1: Medicating for pain, administering IV fluids, and sending lab specimens can be done once the child’s oxygenation status has been addressed.

Rationale 2: Medicating for pain, administering IV fluids, and sending lab specimens can be done once the child’s oxygenation status has been addressed.

Rationale 3: Pulse oximetry reading should be 92 or greater. Oxygen by nasal cannula at 1 liter should be started initially.

Rationale 4: Medicating for pain, administering IV fluids, and sending lab specimens can be done once the child’s oxygenation status has been addressed.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 25-3