Chapter 32: Child With a Respiratory Condition

Chapter 32: Child With a Respiratory Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which statement by the nurse accurately describes the difference between the respiratory systems of a child and an adult?

1)	The nares in children are larger in size, shallow in depth, underdeveloped, and less easily occluded.
2)	The larynx and the glottis are lower in the younger child’s neck, which makes the child more prone to aspiration.
3)	The epiglottis in the younger child is longer and flaccid, making it more susceptible to swelling that may lead to airway occlusion.
4)	There are fewer functional muscles in the neck, and the decreased amount of soft tissue makes the child more susceptible to infection and edema.

 

 

____     2.   A pediatric nurse is performing a respiratory assessment on an 18-month-old child. The nurse most likely uses which recommended techniques?

1)	Assess breath sounds by listening to all lung fields and alternating sides for comparison
2)	Assess the resonance of the lungs and underlying organs by using auscultation
3)	Assess the child’s respiratory status when fully awake and active
4)	Assess for normal breath sounds using palpation

 

 

____     3.   The pediatric nurse recognizes that normal breath sounds are equal bilaterally in intensity, rhythm, and pitch. Which respiratory sign may indicate that a child is hypoxic?

1)	Stridor
2)	Anxiety
3)	Rhonchi
4)	Crackles

 

 

____     4.   Which should the nurse anticipate when providing care to a child who aspirated a foreign body (FB)?

1)	CT scan
2)	Chest x-ray
3)	Fluoroscopy
4)	Bronchoscopy

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  3

Chapter number and title: 32: Child With a Respiratory Condition

Chapter learning objective: Review the differences between the anatomy and physiology of a newborn’s and a child’s respiratory system and that of an adult.

Chapter page reference: 527-528

Heading: Anatomy of the Respiratory Tract of a Child Compared to an Adult

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Development; Oxygenation

Difficulty: Easy

 

	Feedback
1	This statement is not accurate.
2	This statement is not accurate.
3	The pediatric epiglottis is longer and flaccid, which makes it more susceptible to swelling and increasing the risk for airway occlusion. This statement is accurate.
4	This statement is not accurate.

 

 

PTS:   1                    CON:  Development | Oxygenation

 

2. ANS:  1

Chapter number and title: 32: Child With a Respiratory Condition

Chapter learning objective: State the assessments conducted in the physical examination of an infant or child with a respiratory condition.

Chapter page reference: 528

Heading: Auscultation

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Assessment

Difficulty: Moderate

 

	Feedback
1	The nurse should assess breath sounds by listening to all lung fields and alternating sides for comparison.
2	Resonance is assessed via percussion, not auscultation.
3	The nurse should assess the child’s respiratory status when the child is asleep or sitting quietly.
4	Breath sounds are assessed via auscultation, not palpation.

 

 

PTS:   1                    CON:  Assessment?”>,mr

 

3. ANS:  2

Chapter number and title: 32: Child With a Respiratory Condition

Chapter learning objective: Describe the breathing patterns, adventitious breath sounds, and symptoms one may encounter in respiratory distress.

Chapter page reference: 529-530

Heading: Assessments of Respiratory Distress

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Oxygenation

Difficulty: Easy

 

	Feedback
1	Stridor is an adventitious breath sound; however, it does not indicate hypoxia.
2	A child who is experiencing difficulty breathing looks extremely anxious in response to hypoxia.
3	Rhonchi are adventitious breath sounds; however, they do not indicate hypoxia.
4	Crackles are adventitious breath sounds; however, they do not indicate hypoxia.

 

 

PTS:   1                    CON:  Oxygenation

 

4. ANS:  4

Chapter number and title: 32: Child With a Respiratory Condition

Chapter learning objective: Discuss the various methods of intervention for a child with a respiratory condition, including the different oxygen delivery systems.

Chapter page reference: 540

Heading: Interventions for Foreign Body Aspiration

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Oxygenation

Difficulty: Easy

 

	Feedback
1	A CT scan is not anticipated when providing care to a child who aspirated an FB.
2	A chest x-ray is not anticipated when providing care to a child who aspirated an FB.
3	A fluoroscopy is not anticipated when providing care to a child who aspirated an FB.
4	Rigid bronchoscopy may be necessary for visualization of the airway and removal of the FB.

 

 

PTS:   1                    CON:  Oxygenation