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23 Cards in this Set
- Front
- Back
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Which of the following child's history puts them at risk for asthma-related death?
A. current use of corticosteroids B. a child who has never been hospitalized C. no history of psychiatric or psychosocial disease D. compliance with an asthma treatment plan |
A. current use of corticosteroids
Other risks: prior hospitalization, history of psychosocial issues or psychiatric illness, and noncompliance with an asthma treatment plan |
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What time of year is the peak season for bronchitis?
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Winter/Spring
a viral infection that peaks in winter and early spring |
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Which of the following is a symptom of bacterial pharyngitis?
A. rhinitis B. symptoms have a gradual onset C. fever as high as 104 degrees F D. WBCs in normal range |
C. fever as high as 104
Also: elevated WBCs, abrupt onset, headache, sore throat, abdominal discomfort, enlarged tonsils, firm cervical lymph nodes |
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When should the nurse count the respiratory rate of a child?
A. when running B. when playing C. while sleeping D. during crying |
C. while sleeping
Respiratory rate should be counted while the child is quiet or asleep. Should be counted for a full minute and should not create stress or anxiety for the child |
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What type of treatment would be given for bronchiolitis?
A. bronchodilator B. antibiotics C. oxygen therapy D. corticosteroids |
C. oxygen therapy
Treatment is oxygen therapy, respiratory support and fluid support. |
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What are the symptoms of allergic rhinitis? (3)
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sinus pain
family history of atopy conjunctival pururitis |
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At what ages does a child not need a cuffed endotracheal tube for intubation?
Why? |
Children under the age of 8
Because the larynx is funnel-shaped and narrow at the cricoid. The narrowing is a natural cuff. |
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What age of child has a trachea 4 cm long?
7 cm? 12 cm? |
4 cm - newborn
7 cm - toddler 12 cm - teenager |
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acute inflammation and obstruction of the bronchioles generally occurring during the first 2 years of life
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bronchiolitis
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autosomal recessive genetic condition that affects multiple systems
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cystic fibrosis
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chronic lung disease of children that begins in infancy
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bronchopulmonary dysplasia
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chronic inflammatory disorders of the airways involving marked hyper-responsiveness
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asthma
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transient inflammatory process involving the distal trachea and major bronchi
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bronchitis
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True or false?
A child's airway is smaller in diameter by longer in length than an adult's airway. |
false
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True or false?
Children with respiratory problems may exhibit retractions that increase the work of breathing. |
true
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True or false?
Respiratory failure occurs when the arterial oxygen tension decreases to less than 80 mm Hg. |
false
<60 |
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True or false?
Stridor is a harsh, grating, whistling sound resulting from turbulent airflow through an obstruction. |
true
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True or false?
Before suctioning a tracheostomy, the nurse should instill saline to thin the secretions. |
false
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The child with allergic rhinitis typically has ____ rhinorrhea.
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clear
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Tonsillitis most commonly affects _____ children.
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school-aged
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The cessation of airflow in to and out of the lungs
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apnea
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A child is brought to the ER by his parents. The child is exhibiting respiratory distress. Which finding would you interpret as most important?
A. wheezing B. retractions C. grunting D. vesicular breath sounds |
C. grunting
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A child with a history of recurrent throat infections is diagnosed with acute tonsillitis, and a decision is made to schedule an outpatient tonsillectomy and adenoidectomy. You inform the parents that the surgery will most likely be scheduled at which time?
A. within the next week B. within 2-3 weeks C. one month from now D. in approximately 3 months |
B. within 2-3 weeks
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