Respiratory

Front 1

What respiratory disorder only seen at birth is the result of primary absence, deficiency, or alteration in the production of pulmonary surfactant?

Back 1

Respiratory distress syndrome (RDS)

Front 2

What is the primary mgmt of RDS?

Back 2

1. Adequate ventilation (ET tube)
2. Surfactant replacement therapy
3. Monitor for complications (pneumonia, lung collapse)
4. DO NOT hyperextend the neck AT ANY TIME (may close glottis)...infant should be in 'sniff neck' position to maintain open airway

Front 3

Croup can be either viral or bacterial and most often occurs at night. What is the purpose of placing this child in a cool mist tent?

Back 3

To liquefy and loosen bronchial secretions

Front 4

What is the most common form of croup usually caused by Influenza type B?

Back 4

Laryngotracheobronchitis (LTB)

Front 5

Describe the care of a child in a mist tent:

Back 5

1. Monitor temp
2. Keep tent edges tucked in
3. Keep clothing dry
4. Assess respiratory status
5. Keep tent sides free of moisture to visualize the child

Front 6

How is epiglottitis dx confirmed?

Back 6

Lateral neck film

Front 7

What are the cardinal s/s of epiglottitis?

Back 7

1. Intense sore throat indicated by not wanting to eat or, if old enough, pointing to the throat
2. Difficulty swallowing --> drooling
3. Tripod position (upright, chin out, tongue protruding, hands on floor)

Front 8

Which respiratory disorder is always considered a medical emergency?

Back 8

Epiglottitis

Front 9

Which respiratory disorder is characterized by thick secretions, usually caused by RSV?

Back 9

Bronchiolitis

Front 10

When suctioning a new tracheostomy, what is a priority nursing plan?

Back 10

Keep oxygen at bedside

Front 11

Which chronic lung disease manifests hyperexpansion, atelectasis, interstitial thickening, and 'barrel chest'...similar to COPD patients...and can be the result of an infant on long-term O2 therapy?

Back 11

Bronchopulmonary dysplasia (BPD)

Front 12

When caring for a neonate the nurse monitors oxygen concentration to prevent which of the following?

Back 12

Bronchopulmonary dysplasia (BPD)

Front 13

What are the controllable risk factors for developing otitis media?

Back 13

1. Smoking (2nd hand)
2. Feeding in a supine position

Front 14

What is imporant to teach parents of a child w/ otitis media?

Back 14

Keep temp below 101*F w/ acetaminophen (Tylenol) and tepid baths...risk for febrile seizure

Front 15

A method of tx for otitis media is a myringotomy, a parent asks the nurse if the child will have permanent hearing loss, what is the best response?

Back 15

The tubes do not affect hearing, however, the child should not swim or be submerged in water w/o ear plugs

Front 16

Which respiratory disorder, if RT strep infection, tx is crucial due to risk of rheumatic heart disease/

Back 16

Tonsilitis

Front 17

Post-op nursing care for T&A:

Back 17

1. Push ice cream, popsicles, jell-o, pudding...nothing red...mimics bleeding
2. No straws
3. Ice collar
4. Side-lying w HOB elevated
5. Observe for s/s of hemorrhage: frequent swallowing, vomiting fresh blood, clearing throat

Front 18

Which chronic inflammatory disorder of the airway is a reactive airway response in which an antigen binds to the specific IgbE surface of the mucosal mast cell?

Back 18

Asthma

Front 19

What is the process of an asthmatic reaction?

Back 19

1. Airway edema
2. Mucus congestion
3. Constriction of the bronchi and bronchioles
4. Airway trapping in the alveoli

Front 20

What is the best form of exercise for the client w/ asthma?

Back 20

Swimming

Front 21

Corticosteroids are useful in the tx of acute respiratory disorders secondary to their ability to:

Back 21

Decrease inflammation

Front 22

The nurse knows that teaching has been successful if the patient, who is using the antichholinergic inhaler ipratropium bromide (Atrovent), states:

Back 22

This inhaler is not to be used alone to tx an asthma attack

Front 23

Discharge teaching to a pt receiving a beta-agonist bronchodilator should emphasize reporting which of the following SE?

Back 23

Tachycardia...dose may need to be decreased

Front 24

Which respiratory disorder is a dysfunction of the exocrine glands?

Back 24

Cystic fibrosis (CF)

Front 25

Cystic fibrosis has 3 presentations, what are these?

Back 25

1. Meconium ileus
2. Malabsorption
3. Chronic recurrent respiratory infections

Front 26

What is the first sign of an infant w/ CF?

Back 26

Meconium ileus

Front 27

What would you teach the parents of a child w/ CF about nutrition?

Back 27

1. They must administer pancreatic enzymes w/ EVERY meal or large snack
2. Capsules can be sprinkled on a small amt of soft food
3. High cal, high protein
4. Need to administer water-soluble form of Vit A, D, K, and E

Front 28

What is a patient w/ an increased temp and RR at risk for?

Back 28

Hypoxia...administer O2

Front 29

Describe the purpose of bronchiodilators:

Back 29

To reverse bronchospasm

Front 30

What are the physical assessment findings for a child w/ asthma?

Back 30

1. Expiratory wheezing
2. Rales
3. Tight cough
4. s/s of altered blood gases

Front 31

Why is genetic counseling important for the family of a child w/ cystic fibrosis?

Back 31

b/c it is an autosomal recessive disease

Front 32

List 7 s/s of respiratory distress in a pediatric client:

Back 32

1. Restlessness
2. Tachycardia
3. Tachypnea
4. Diaphoresis
5. Nasal flaring
6. Retractions
7. Grunting