ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. In this method, the unsafe period for sexual intercourse is indicated by:
Correct Answer: C
Rationale: In the rhythm method of family planning, the unsafe period for sexual intercourse is indicated by 3 full days of elevated basal body temperature and clear, thin cervical mucus (Option C). This is because these signs suggest that ovulation has already occurred, making it more likely for conception to happen. Option A, return preovulatory basal body temperature, is incorrect because it does not specify a clear indication of the unsafe period related to ovulation. Option B, basal body temperature increase of 0.1 degrees to 0.2 degrees on the 2nd or 3rd day of the cycle, is incorrect as it does not definitively confirm ovulation has already taken place. Option D, breast tenderness and mittelschmerz (ovulation pain), are not reliable indicators of the unsafe period for sexual intercourse as they can vary greatly among individuals and may not always coincide with ovulation. Educationally, it is crucial for healthcare providers, especially nurses, to understand and educate patients on different methods of family planning. By knowing the correct indicators of fertility and ovulation, nurses can empower their patients to make informed decisions about their reproductive health and contraceptive choices. This knowledge also helps in providing accurate information and support to individuals seeking to plan or prevent pregnancy effectively.
Question 2 of 5
The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the health care provider did not prescribe antibiotics. Which response should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C) "Antibiotics are not indicated unless there is a bacterial infection." In the case of viral laryngotracheobronchitis (croup), the causative agent is typically a virus, not bacteria. Antibiotics are only effective against bacterial infections, not viral ones. Prescribing antibiotics in the absence of a bacterial infection can lead to antibiotic resistance and unnecessary side effects without providing any benefit to the child. Option A) "Your child may be allergic to antibiotics" is incorrect because the decision to not prescribe antibiotics is not based on potential allergies but rather on the nature of the illness. Option B) "Your child is too young to receive antibiotics" is incorrect as age alone is not the determining factor for prescribing antibiotics in this case. Option D) "Your child still has maternal antibodies from birth and does not need antibiotics" is incorrect because while maternal antibodies may provide some protection, they are not a substitute for appropriate medical treatment if a bacterial infection is not present. From an educational standpoint, it is crucial for nurses to understand the principles of antibiotic stewardship and the appropriate use of antibiotics to prevent the development of antibiotic resistance. Educating parents about the rationale behind treatment decisions can help foster understanding and trust in the healthcare provider's expertise.
Question 3 of 5
The parent of a 9-month-old child with croup tells the nurse that her older child just had croup and it cleared up in a couple of days without intervention. She asks the nurse why this child is exhibiting worse symptoms and needs to be hospitalized. The nurse's best response is....
Correct Answer: D
Rationale: The correct answer is D) "Children younger than 3 years usually exhibit worse symptoms because their immune systems are not as developed." This response is accurate because it highlights the underlying reason for the increased severity of symptoms in younger children experiencing respiratory distress. Children under 3 years of age have immune systems that are still developing, making them more vulnerable to viral infections like croup. Option A is incorrect because while it emphasizes individual differences, it does not address the specific immune system vulnerability in infants. Option B is incorrect as it focuses on bacterial colonization rather than immune system development. Option C is incorrect as it discusses eustachian tubes, which are related to ear infections, not croup. From an educational perspective, understanding the physiological differences in pediatric patients is crucial for nurses to provide effective care. By recognizing that younger children have less developed immune systems, nurses can better assess, intervene, and educate parents on the management of respiratory distress in pediatric patients. This knowledge enhances the quality of care provided to this vulnerable population.
Question 4 of 5
When Sarah is diagnosed with CF, her parents ask what early respiratory symptoms they should expect to see. The nurse's best response would be: "You can expect her to develop....
Correct Answer: B
Rationale: The correct answer is B) a chronic, productive cough. In the case of cystic fibrosis (CF), early respiratory symptoms often involve the buildup of thick mucus in the airways, leading to a chronic, productive cough. This cough is a common early sign of respiratory distress in pediatric patients with CF. It is essential for parents to recognize this symptom early on so that appropriate interventions and treatments can be initiated promptly. Option A) a barrel-shaped chest is associated with conditions like chronic obstructive pulmonary disease (COPD) rather than CF in pediatric patients. This is not a typical early respiratory symptom seen in CF. Option C) bronchiectasis is a complication that can develop over time in patients with CF due to recurrent lung infections and inflammation. It is not one of the early respiratory symptoms that parents should expect to see. Option D) wheezing respirations are more commonly associated with conditions like asthma rather than CF in pediatric patients. While wheezing can occur in CF, it is not typically one of the earliest respiratory symptoms seen in these patients. Educationally, understanding the early respiratory symptoms of CF is crucial for parents and caregivers to monitor and manage the condition effectively. By recognizing these symptoms early, parents can work closely with healthcare providers to develop a comprehensive care plan to optimize the respiratory health of their child with CF. Regular monitoring and early intervention can help improve outcomes and quality of life for pediatric patients with CF.
Question 5 of 5
Which position is best for a newborn with exstrophy of the bladder?
Correct Answer: A
Rationale: In the context of nursing interventions for pediatric respiratory distress, understanding proper positioning for newborns with specific conditions like exstrophy of the bladder is crucial. In this scenario, the correct answer is A) Prone. Rationale for the correct answer: Placing a newborn with exstrophy of the bladder in a prone position helps to prevent pressure on the bladder, reducing discomfort and potential complications. This position also allows for optimal lung expansion, aiding in respiratory function and oxygenation. Rationale for why others are wrong: - B) Supine position may increase pressure on the bladder, leading to potential complications and discomfort for the newborn. - C) Placing the newborn on either side does not specifically address the issue of bladder pressure and may not provide the necessary support for optimal respiratory function. - D) While elevating the head can be beneficial in some respiratory conditions, it does not directly address the specific needs of a newborn with exstrophy of the bladder. Educational context: Understanding the rationale behind positioning in pediatric patients with unique conditions is essential for nurses to provide safe and effective care. By knowing the rationale for specific positions, nurses can optimize patient outcomes and prevent potential complications. This knowledge is critical in pediatric nursing, where proper positioning can significantly impact respiratory function and overall well-being.