ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 21 : The Child with Respiratory Dysfunction Questions
Question 1 of 5
Parents bring their 15-month-old infant to the emergency department at 3:00 AM because the toddler has a temperature of 39 C (102.2 F), is crying inconsolably, and is tugging at the ears. A diagnosis of otitis media (OM) is made. In addition to antibiotic therapy, the nurse practitioner should instruct the parents to use what medication?
Correct Answer: D
Rationale: Benzocaine ear drops provide topical relief for otitis media pain. Decongestants and antihistamines are not recommended, and aspirin is contraindicated in children due to Reye syndrome risk.
Question 2 of 5
An 18-month-old child is seen in the clinic with otitis media (OM). Oral amoxicillin is prescribed. What instructions should be given to the parent?
Correct Answer: A
Rationale: Completing the full course of amoxicillin prevents recurrence of resistant bacteria. Stopping when symptoms subside risks incomplete treatment, hearing loss requires evaluation but not stopping antibiotics, and fever may persist for 24-48 hours despite treatment.
Question 3 of 5
An infants parents ask the nurse about preventing otitis media (OM). What information should be provided?
Correct Answer: A
Rationale: Avoiding tobacco smoke reduces the risk of otitis media and other childhood illnesses. Nasal decongestants don?t prevent OM, it?s not contagious unless other symptoms are present, and feeding in a semivertical position, not supine, helps prevent OM.
Question 4 of 5
Chronic otitis media with effusion (OME) differs from acute otitis media (AOM) because it is usually characterized by which signs or symptoms?
Correct Answer: C
Rationale: Chronic otitis media with effusion (OME) typically presents with a feeling of fullness in the ear and nonspecific symptoms, unlike acute otitis media (AOM), which involves severe pain, fever, and systemic symptoms like anorexia or vomiting.
Question 5 of 5
A 4-year-old girl is brought to the emergency department. She has a froglike croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should intervene in which manner?
Correct Answer: D
Rationale: The symptoms suggest epiglottitis, a medical emergency requiring immediate physician notification and preparation for airway support like tracheostomy or intubation. Lying down worsens breathing, examining the throat risks obstruction, and mist tents are ineffective for epiglottitis.