ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
The nurse is assessing a child with herpetic gingivostomatitis. The nurse wears gloves when examining the lesions. This nursing action is
Correct Answer: B
Rationale: In pediatric nursing, it is crucial to understand the rationale behind infection control practices, especially when dealing with infectious conditions like herpetic gingivostomatitis. Wearing gloves when examining lesions in a child with this condition is necessary because the herpes simplex virus can easily enter the body through breaks in the skin, providing a barrier to prevent transmission to the nurse or from the nurse to the child. Option A is incorrect because herpetic gingivostomatitis is not sexually transmitted; it is typically spread through oral secretions. Option C is incorrect as wearing gloves is necessary regardless of whether the nurse touches their own mouth or not to prevent cross-contamination. Option D is also incorrect as the herpes simplex virus is highly contagious, especially through direct contact with infected lesions. From an educational perspective, understanding the rationale behind using appropriate personal protective equipment like gloves in pediatric nursing not only ensures the safety of healthcare providers but also prevents the spread of infectious diseases among vulnerable populations. This question highlights the importance of infection control practices and their application in pediatric respiratory nursing to provide safe and effective care to children with communicable diseases.
Question 2 of 5
A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the infant was exposed to a brother who has the flu. Which action by the nurse is most appropriate based on these assessment findings?
Correct Answer: C
Rationale: In this scenario, the most appropriate action is option C: Give the vaccinations as scheduled. The rationale behind this is that exposure to someone with the flu does not contraindicate routine vaccinations. Vaccinations are crucial for preventing serious infectious diseases in infants, and delaying them could leave the infant vulnerable to preventable illnesses. Option A is incorrect because withholding only one vaccination based on flu exposure is not necessary. Option B is also incorrect as withholding all vaccinations is not recommended unless there is a specific contraindication. Option D is incorrect as there is no need to prioritize the flu vaccination over other routine vaccinations in this situation. From an educational standpoint, it is essential for nurses to understand the importance of vaccination schedules and to follow evidence-based practices. Educating parents about the benefits and safety of vaccinations, even in the presence of minor illnesses or exposures, is crucial to promoting public health and protecting vulnerable populations like infants.
Question 3 of 5
A nurse is caring for a child with sickle cell anemia. Which finding would require immediate intervention?
Correct Answer: B
Rationale: In caring for a child with sickle cell anemia, the finding that would require immediate intervention is decreased urine output (Option B). This is indicative of vaso-occlusive crisis, a common complication in sickle cell disease where sickled red blood cells block blood flow, leading to tissue ischemia and organ damage. In this scenario, decreased urine output suggests potential renal compromise, which requires prompt assessment and intervention to prevent further complications like acute kidney injury. Option A, a temperature of 101°F (38.3°C), while indicating a low-grade fever, may be common in sickle cell patients due to infections, pain crises, or other stressors. It would warrant monitoring and further assessment but may not necessitate immediate intervention unless other concerning symptoms are present. Leg pain and tenderness (Option C) are typical manifestations of vaso-occlusive crises in sickle cell disease and would need evaluation and pain management, but they do not indicate an immediate life-threatening situation requiring urgent intervention. Slight pallor (Option D) is a common finding in anemia, including sickle cell anemia, and does not typically warrant immediate intervention unless it is severe and accompanied by other critical symptoms like tachycardia or hypotension. Educationally, understanding the specific complications and manifestations of sickle cell anemia is crucial for nurses caring for pediatric patients with this condition. Recognizing the signs of vaso-occlusive crises and knowing when to intervene promptly can help prevent serious complications and improve outcomes for these vulnerable patients. Regular assessments and prompt response to changes in condition are essential in managing sickle cell disease effectively.
Question 4 of 5
The nurse is assessing a child with a recent diagnosis of asthma. Which statement by the parent indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C) "I can stop the daily controller medication once the child feels better." This statement indicates a need for further teaching because controller medications for asthma are meant to be taken daily, even when the child feels better, in order to prevent asthma symptoms and exacerbations. Stopping the controller medication abruptly can lead to worsening of symptoms and potential asthma attacks. Option A is correct because keeping the child's rescue inhaler with them at all times is a good practice in case of an asthma attack. Option B is also correct as reducing exposure to triggers like dust and pet dander can help in managing asthma symptoms. Option D is correct as regular follow-up visits with the healthcare provider are essential to monitor the child's asthma control, adjust medications as needed, and provide ongoing education and support to the child and family. Educationally, this question emphasizes the importance of adherence to asthma medications, the need for ongoing management and monitoring, and the role of the healthcare provider in supporting families with children diagnosed with asthma. It highlights the significance of patient education in managing chronic conditions like asthma effectively.
Question 5 of 5
A nurse is teaching the parents of a child with sickle cell anemia about crisis management. The nurse should explain that which of the following can trigger a sickle cell crisis?
Correct Answer: C
Rationale: In pediatric respiratory nursing, it is crucial to understand the triggers of a sickle cell crisis when caring for children with sickle cell anemia. The correct answer is C) Cold temperatures. Cold temperatures can cause vasoconstriction, leading to reduced blood flow and oxygen delivery, which can trigger a sickle cell crisis in individuals with sickle cell anemia. Excessive hydration (A) is important in managing sickle cell anemia to prevent dehydration, which can exacerbate the risk of a crisis. Increased stress (B) can also be a trigger for a sickle cell crisis due to its impact on the body's physiological responses. Increased physical activity (D) is typically encouraged for children with sickle cell anemia to maintain overall health and fitness, but it is not a direct trigger for a crisis. Educationally, understanding the triggers of a sickle cell crisis equips nurses and parents with the knowledge to prevent and manage these episodes effectively. By teaching parents about these triggers, nurses empower them to create a safe environment for their child and intervene promptly if a crisis occurs. This knowledge enhances the quality of care provided to children with sickle cell anemia and contributes to better health outcomes.