ATI RN
Pediatric Respiratory Distress Nursing Interventions Questions
Question 1 of 5
A parent of a child with asthma asks the nurse about using a peak flow meter. The nurse explains that this device measures
Correct Answer: C
Rationale: The correct answer is C) Peak expiratory flow. A peak flow meter is a device used to measure peak expiratory flow rate, which is the maximum speed at which a person can exhale air from their lungs. This measurement is crucial in monitoring asthma as it helps to assess how well the lungs are functioning and how effectively asthma is being controlled. By regularly monitoring peak expiratory flow, parents and healthcare providers can make informed decisions about asthma management and adjust treatment plans as needed. Option A) Blood oxygen levels is incorrect because a peak flow meter does not measure oxygen levels in the blood. Option B) Lung volume is also incorrect as the peak flow meter specifically measures the rate of airflow during exhalation rather than lung volume. Option D) Vital signs is incorrect because although respiratory rate is a vital sign, a peak flow meter is not used to measure vital signs but rather to assess lung function in asthma. Educationally, it is important for nurses and healthcare providers to educate parents of children with asthma about the importance of using a peak flow meter for home monitoring. Teaching parents how to properly use the device and interpret the results can empower them to take an active role in managing their child's asthma and intervening early if there are signs of worsening respiratory distress.
Question 2 of 5
A nurse is caring for a child who is receiving chemotherapy for leukemia. The child develops a temperature of 100.4°F (38°C). What should the nurse do first?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Notify the healthcare provider immediately. When caring for a child undergoing chemotherapy, any fever, even a low-grade one like 100.4°F, is considered a serious concern due to the child's compromised immune system. The nurse should notify the healthcare provider promptly because fevers in children with cancer can indicate an underlying infection that requires urgent evaluation and treatment. Administering acetaminophen (option A) should not be the first action without consulting the healthcare provider, as it may mask the fever and delay the diagnosis and treatment of a potential infection. Assessing for signs of infection (option C) is important but should not delay contacting the healthcare provider, as prompt intervention is crucial in this high-risk population. Increasing fluid intake (option D) is generally beneficial but is not the priority in this case. Educationally, this scenario highlights the importance of prompt communication with the healthcare team when caring for pediatric oncology patients. It emphasizes the need for nurses to recognize the potential complications of fever in immunocompromised children and take immediate action to ensure timely and appropriate management.
Question 3 of 5
A nurse is caring for a child with a history of recurrent urinary tract infections (UTIs). Which of the following interventions should the nurse implement to help prevent further UTIs?
Correct Answer: C
Rationale: The correct answer is C: Encourage fluid intake and regular urination. Rationale: Encouraging fluid intake and regular urination helps prevent UTIs in children by diluting urine and flushing out bacteria from the urinary tract. By staying well-hydrated, the child can maintain proper urinary function, reducing the risk of infection. Option A, encouraging the child to hold urine until the bladder feels full, is incorrect as holding urine for extended periods can increase the risk of UTIs by allowing bacteria to multiply in the bladder. Option B, instructing the child to wipe from back to front after using the toilet, is incorrect as wiping from back to front can introduce bacteria from the anal region to the urethra, increasing the risk of UTIs. Option D, instructing the child to avoid cranberry juice, is incorrect as cranberry juice is actually beneficial in preventing UTIs due to its ability to inhibit bacterial adherence to the urinary tract. Educational Context: In pediatric nursing, preventing UTIs is crucial as they can lead to serious complications. Educating children and their caregivers about proper hydration, regular urination, and good hygiene practices is essential in reducing the incidence of UTIs. Encouraging healthy habits early on can have a significant impact on a child's overall well-being.
Question 4 of 5
A nurse is assessing a child with a diagnosis of acute respiratory distress syndrome (ARDS). Which of the following is a priority nursing intervention?
Correct Answer: B
Rationale: In the context of a child with acute respiratory distress syndrome (ARDS), the priority nursing intervention is providing supplemental oxygen (Option B). ARDS is a severe condition characterized by rapid onset of respiratory failure, requiring immediate and effective oxygenation support. Oxygen therapy helps improve oxygenation levels and reduce the work of breathing, crucial in managing ARDS and preventing further complications like hypoxemia and organ dysfunction. Administering pain medications (Option A) is important for comfort, but it is not the priority when a child is struggling to breathe. Monitoring for signs of infection (Option C) is essential in ARDS due to the risk of secondary infections, but ensuring adequate oxygenation takes precedence. Encouraging deep breathing and coughing (Option D) may be beneficial in other respiratory conditions, but in ARDS, the focus is on oxygenation support rather than potentially increasing respiratory effort. In an educational context, understanding the priority interventions in pediatric respiratory distress scenarios like ARDS is crucial for nurses to provide timely and effective care. This knowledge ensures that nurses can prioritize interventions based on the critical needs of the child, thereby improving outcomes and potentially saving lives.
Question 5 of 5
A nurse is educating the parents of a child with a new diagnosis of type 1 diabetes. The nurse should explain that the child's insulin regimen will be based on which of the following?
Correct Answer: B
Rationale: In pediatric diabetes management, the child's insulin regimen is based on their blood glucose levels and carbohydrate intake (Option B). This is because insulin dosing needs to be tailored to match the amount of carbohydrates consumed to maintain stable blood glucose levels. Educating parents on this aspect is crucial as it empowers them to support their child's health by understanding how insulin works in relation to their diet. Option A is incorrect because although diet and exercise are important factors in diabetes management, insulin dosing is primarily based on blood glucose levels and carbohydrate intake. Option C, the child's age and weight, is not the primary determinant of insulin dosing, although these factors can influence insulin requirements to some extent. Option D, the child's insulin resistance, is also not the primary factor considered when determining the insulin regimen for a child with type 1 diabetes. Providing this educational context helps parents understand the rationale behind the insulin regimen, enabling them to actively participate in their child's diabetes care and make informed decisions regarding their child's health.