ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
Correct Answer: A
Rationale: The correct answer is A - Unwrap and gently arouse the infant. If the infant falls asleep during feeding, it may indicate inadequate feeding. Arousing the infant gently and continuing the feeding is important to ensure proper nutrition. Waiting, offering a bottle, or delaying the feeding can lead to decreased milk production and potential issues with breastfeeding.
Question 2 of 5
post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)
Correct Answer: D
Rationale: The correct answer is D because glucose is necessary to produce heat, the infant who is also hypoglycemic will not be able to produce enough body heat. A hematocrit level of 58% is within the expected range for newborns. WBC count may be as high as 30,000 cells/mm3. RBC count ranges from 3.9 to 5.5 million/mcL.
Question 3 of 5
The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of
Correct Answer: A
Rationale: Persistent pulmonary hypertension is a common complication associated with meconium aspiration syndrome. It can lead to hypoxemia and acidosis, making it crucial for the nurse to monitor for this complication in infants with meconium aspiration syndrome. The other options do not directly correlate with meconium aspiration syndrome and its complications.
Question 4 of 5
Which is the BEST indication for rigid bronchoscopy?
Correct Answer: B
Rationale: In pediatric respiratory distress, the BEST indication for rigid bronchoscopy is option B) extracting foreign bodies. This is because rigid bronchoscopy is the preferred method for removing foreign bodies from the airway in children due to its larger working channel, better visualization, and ability to manage complications effectively. Foreign body aspiration can lead to life-threatening airway obstruction, making prompt removal crucial. Option A) persistent wheeze is not a primary indication for rigid bronchoscopy. Wheezing can be caused by various respiratory conditions that may not require bronchoscopy for diagnosis or treatment. Option C) atelectasis can sometimes be managed conservatively or with other interventions before considering bronchoscopy. Option D) persistent bronchitis or bronchiolitis typically do not necessitate rigid bronchoscopy unless there is a specific indication, such as suspected airway obstruction or other complications. Educationally, understanding the appropriate indications for rigid bronchoscopy in pediatric patients is crucial for nurses caring for children with respiratory distress. It is essential to recognize when this intervention is warranted to ensure timely and effective management of potentially life-threatening situations like foreign body aspiration. Nurses must be knowledgeable about the different respiratory conditions and their respective management strategies to provide optimal care to pediatric patients.
Question 5 of 5
Arterial blood gas study in cystic fibrosis shows:
Correct Answer: D
Rationale: In cystic fibrosis, a common complication is respiratory distress due to thick mucus obstructing airways. This leads to impaired gas exchange, resulting in hypoxia and hypercapnia. The arterial blood gas (ABG) study in cystic fibrosis typically shows a pattern of chronic respiratory acidosis. Option D, "hyponatraemic hypochloraemic metabolic alkalosis," is the correct answer. In cystic fibrosis, patients lose excessive salt in their sweat, leading to hyponatremia and hypochloremia. Respiratory acidosis causes the body to compensate by retaining bicarbonate, resulting in metabolic alkalosis. Option A, "hypernatraemic hypochloraemic metabolic alkalosis," is incorrect as hypernatremia is not typically seen in cystic fibrosis due to salt losses. Option B, "hyponatraemic hypochloremic metabolic acidosis," is incorrect as metabolic acidosis is not the expected compensation for respiratory distress in cystic fibrosis. Option C, "hyponatraemic hyperchloraemic metabolic alkalosis," is incorrect because hyperchloremia is not a common feature in cystic fibrosis-related respiratory distress. Understanding ABG interpretation in cystic fibrosis is crucial for nurses caring for pediatric patients with this condition. Recognizing the specific ABG patterns can guide appropriate nursing interventions and help in maintaining optimal respiratory function for these patients.