Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
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Chapter 25: The Child with a Respiratory Disorder
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Acetaminophen and plenty of fluids |
| b. | Oral penicillin for 10 days |
| c. | Penicillin until his sore throat is gone |
| d. | Streptococcus immunization |
ANS: B
When a throat culture is positive for group A beta-hemolytic streptococcus, penicillin is administered for 10 days even if symptoms are alleviated before the medication is finished.
DIF: Cognitive Level: Comprehension REF: Page 580 OBJ: N/A
TOP: Acute Pharyngitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | Take the child outside in the cool air. |
| b. | Bring the child directly to the emergency department. |
| c. | Take the child to the bathroom and turn on a hot shower. |
| d. | Have the child drink plenty of fluids. |
ANS: C
The child experiencing laryngeal spasm should be placed in a high-humidity environment, such as the bathroom with a hot shower running. The humidity liquefies secretions and reduces spasm.
DIF: Cognitive Level: Application REF: Page 582 OBJ: 5
TOP: Croup Syndromes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Bleeding from the surgical site |
| b. | Pain at the incision area |
| c. | Sore throat from postnasal drip |
| d. | Potential vomiting |
ANS: A
Hemorrhage is the most common postoperative complication. Blood trickling down the back of the child’s throat could cause frequent swallowing.
DIF: Cognitive Level: Comprehension REF: Page 588 OBJ: 8
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
| a. | A popsicle |
| b. | Chocolate milk |
| c. | Orange juice |
| d. | Cola drink |
ANS: A
Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural juices. A popsicle is usually well-tolerated.
DIF: Cognitive Level: Application REF: Page 588 OBJ: 8
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Respiration rate decrease from 40 to 32 breaths/min |
| b. | Heart rate decrease from 110 to 100 beats/min |
| c. | “Quiet chest” from previous assessment of wheezing |
| d. | Oxygen saturation of 90% |
ANS: C
A “quiet chest” after assessment of wheezing indicates occlusion of air pathways and impending respiratory arrest. All other options are within normal range for infants undergoing oxygen administration.
DIF: Cognitive Level: Analysis REF: Page 584 OBJ: 15
TOP: Respiratory Syncytial Virus (RSV)
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.