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14 Cards in this Set
- Front
- Back
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Which of the following helps nurses understand how the respiratory tract in children is different from that in adults?
a) Infants rely almost entirely on diaphragmatic-abdominal breathing b) Smooth muscle development in the airways increases until about age 12 years c) The configuration of the chest at birth is not as round as it becomes by adulthood d) With age there is a decrease in both number of alveoli and branching of terminal bronchioles |
Infants rely almost entirely on diaphragmatic-abdominal breathing
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Which of the following is a measure of chest wall and lung distensibility?
a) Resistance b) Ventilation c) Compliance d) Alveolar surface tension |
Compliance
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Which of the following blood oxygenation tests is the photometric measurement of oxygen saturation?
a) Oximetry b) Capnography c) Arterial punchture d) Transcutaneous oxygen and carbon dioxide monitoring |
Oximetry
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Nursing considerations related to the administration of oxygen in an infant include which of the following?
a) Discontinue during feedings so child can be held b) Assess infant to determine how much oxygen should be given c) Ensure uninterrupted delivery of the appropriate oxygen concentration d) Direct oxygen flow so that it blows directly into the infant's face in a hood |
Ensure uninterrupted delivery of the appropriate oxygen concentration
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The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3 year old child, who has cystic fibrosis. To perform percussion, the nurse should instruct her to:
a) Strike the chest wall with a flat-hand position b) Percuss before and after positioning for postural drainage c) Percuss over the entire trunk anteriorly and posteriorly d) Cover the skin with a shirt or gown before percussing |
Cover the skin with a shirt or gown before percussing
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The nurse is caring for an infant with a tracheostomy when accidental decannulation occurs. The nurse is unable to reinsert the tube. Which of the following should be the nurse's next action?
a) Notify surgeon b) Perform oral intubation c) Try inserting larger tube d) Try inserting smaller tube |
Try inserting smaller tube
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A child is developing respiratory failure. Signs that the hypoxia is becoming severe include:
a) Tachypnea b) Tachycardia c) Somnolence d) Restlessness |
Somnolence
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An immediate intervention when an infant chokes on a piece of food would be to do which of the following?
a) Administer mouth-to-mouth resuscitation b) Open infant's mouth and perform blind finger sweep c) Have infant lie quietly while a call is placed for emergency help d) Position infant in a head-down, prone position, and administer five quick blows between the shoulder blades |
Position infant in a head-down, prone position, and administer five quick blows between the shoulder blades
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Of the following respiratory system structures, the one that does not distribute air is the:
a) Bronchiole b) Alveolus c) Bronchus d) Trachea |
Alveolus
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The general shape of the chest at birth is:
a) Relatively round b) Flattened from side to side c) Flattened from front to back d) The same shape as an adult's |
Relatively round
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The infant relies primarily on:
a) Mouth breathing b) Intercostal muscles for breathing c) Diaphragmatic abdominal breathing d) All of the above |
Diaphragmatic abdominal breathing
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Because of the position of the diaphragm in the newborn:
a) There is additional abdominal distention from gas and fluid in the stomach b) The diaphragm does not contract as forcefully as that of an older infant or child c) Diaphragmatic fatigue is uncommon d) Lung volume is increased |
The diaphragm does not contract as forcefully as that of an older infant or child
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Retractions is defined as:
a) The sinking in of soft tissues during the respiratory cycle b) Proliferation of the tissue near the terminal phalanges c) An increase in the end-expiratory pressure d) Contraction of the sternocleidomastoid muscles |
The sinking in of soft tissues during the respiratory cycle
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Oxygen delivered to infants is best tolerated when it is administered by:
a) An oxygen mask b) A plastic hood with humidified oxygen c) Delivery of oxygen directly into the incubator d) Nasal cannula or prongs |
A plastic hood with humidified oxygen
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