ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 21 : The Child with Respiratory Dysfunction Questions
Question 1 of 5
The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. What nursing action should be included in the care of the child?
Correct Answer: B
Rationale: Monitoring pulse oximetry is critical to assess oxygenation in ARDS, guiding respiratory support. Fluids are given parenterally to maintain hydration, seizures are not typical in ARDS, and a high-protein diet is not specifically beneficial compared to balanced nutrition.
Question 2 of 5
The nurse is caring for a child with carbon monoxide (CO) poisoning associated with smoke inhalation. What intervention is essential in this childs care?
Correct Answer: B
Rationale: Monitoring arterial blood gases is essential for CO poisoning, as pulse oximetry is unreliable due to normal PaO2 levels. High-flow oxygen should be administered immediately, not only if distress or cherry-red lips (a late sign) appear, to displace CO from hemoglobin.
Question 3 of 5
Why are cool-mist vaporizers rather than steam vaporizers recommended in the home treatment of respiratory infections?
Correct Answer: A
Rationale: Cool-mist vaporizers are safer than steam vaporizers, reducing the risk of burns and microbial growth. Costs are comparable, steam vaporizers loosen rather than dry secretions, and both types enhance comfort, but safety is the primary reason for choosing cool-mist.
Question 4 of 5
Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include which information?
Correct Answer: A
Rationale: Using decongestant nose drops for no more than 3 days prevents rebound congestion. Drops should be discarded after illness to avoid contamination, administered before feedings for better effect, and given in two doses 5-10 minutes apart, not repeatedly every 5 minutes.
Question 5 of 5
The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant shows signs or symptoms of which condition?
Correct Answer: C
Rationale: Signs of an earache in an infant with nasopharyngitis may indicate complications like otitis media or secondary bacterial infection, requiring medical evaluation. Cough and fussiness are common with viral illnesses, and a fever of 37.5 C is normal and not concerning.