A 6 year old has asthma. What statement by the mother indicates that more teaching is needed?

She does not use the inhaler more than once a day

A patient has undergone repair of a VSD. Which instruction does the nurse give?

Antibiotics are required before procedures

An infant has a PDA. Which intervention would the nurse question?

Increase feeds 10 ml every 3 hours

Which of the following orders would a nurse question for an 11 month-old with bronchiolitis?

Ceftriaxone 250 mg IV Q12 hours

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Pediatric Respiratory, cardiac, and hematology

15 termsStudBud Administration140 plays

Reviews common respiratory conditions in the pediatric patient. Reviews cardiac defects and nursing care

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Questions 15

Answers

1
A 3 year-old suddenly has difficulty breathing and is drooling. What should the nurse do first?
Start the ordered antibiotics
Soothe the child with distraction
Place in Fowler's position
Prepare for an advanced airway
2
A 2 year-old has an VSD. What will the nurse assess FIRST?
Respiratory rate and effort
Peripheral pulses
Oxygen saturation
Peripheral extremities (edema)
3
The nurse instructs the family of a sickle cell patient which action can deter a future crisis?
Have oxygen available
Hydrate during activity
Avoid contact sports
Delay live vaccines
4
A patient is affected by sickle cell anemia. Which is most appropriate for crisis pain?
Ibuprofen
Warm compress
Ice pack
Deep breathing
5
A patient with hemophilia has hemarthrosis. Which action is contraindicated?
Compression of the joint
Immobilize the joint
Elevation of the extremity
Warm compress
6
A 6 year old has asthma. What statement by the mother indicates that more teaching is needed?
She can sign up for soccer with her peers this Spring
She does not use the inhaler more than once a day
She still uses a spacer with her inhale
We monitor her peak flow before and after using the inhaler
7
A patient has undergone repair of a VSD. Which instruction does the nurse give?
Smaller feedings can conserve energy
Antibiotics are required before procedures
The patient will need to limit physical activity
Apply lotion to encourage incision healing
8
A 10 month-old has frequent ear infections. What item(s) will the nurse include in teaching?
Do not smoke around the infant
Do not prop bottles at nap/bedtime
All of the above
Limit pacifier use
9
What foods could the nurse recommend for the patient who is anemic?
Almonds, Walnuts, or Hazelnuts
Broccoli and Spinach
Carrots and Yams
3 cups of milk per day
10
An infant has a PDA. Which intervention would the nurse question?
Maintain saturation >90%
Change formula to 24 kcal/oz
Lasix 1 mg/kg IV x 1
Increase feeds 10 ml every 3 hours
11
A client returns from a cardiac catheterization. Which should the nurse perform FIRST?
Assess pain level
Auscultate heart sounds
Allow position of comfort
Assess site for bleeding
12
What education can the nurse provide to decrease respiratory infection in patients with CF?
Keep immunizations up to date
Compliance with CPT and bronchodilators
Thoroughly clean nebulizer equipment
All of the above
13
A 3-year-old is receiving digitalis. What side effect may indicate toxicity?
Level of 1 ng/dL
Tachycardia
Dizziness
Vomiting
14
You assess an 11 year-old with CF. What factor likely contributes to his recent weight loss?
Malabsorption of fats
High metabolic rate
Peer pressure
Poor diet
15
Which of the following orders would a nurse question for an 11 month-old with bronchiolitis?
NPO for respiratory rate >50/minute
Ceftriaxone 250 mg IV Q12 hours
LR at 35 ml/hour
Tylenol 120 mg PO PRN fever

Pediatric Respiratory, cardiac, and hematology Flashcards | StudBud