1. During assessment the pediatric pa- tient reports good control of asthma symptoms with no interference in daily activities and one incidence of night-
... [Show More] time cough in the past month. The pa- tient uses a rescue inhaler occasion- ally during the week for asthma exac- erbations. The patient would be classi- fied as having which of the following levels of asthma severity? 2. A nurse is explaining the pathophys- iology of asthma and asthma exacer- bation to a group of nursing students at a workshop. Which of the following Mild intermittent 1) the smooth muscles of the air- way increases in responsiveness, causing bronchoconstriction 2) Chronic inflammation con- statements would be most accurate for tributes to irreversible airway the nurse to make? (SATA) 3. A patient arrives at the emergency de- partment in respiratory distress with a history of asthma. Upon assessment, the nurse notes that the patient sits forward with intercostal retractions, has a productive cough, and wheeze upon auscultation. Which of the fol- lowing interventions is most appropri- ate for the nurse to implement at this time? 4. A nurse observes that a preschooler who is hospitalized appears stressed. which of the following is the most like- ly stressor for this child? changes and decreased lung func- tion 3) exposure to bacterial and viral in- fections increases airways respon- siveness and inflammation Elevate the head of the bed and al- low the patient to assume a position of comfort Fear of mutilation 5. The nurse is preparing a 5 year old for a chest x-ray. Which of the following statements would be the nurse's best explanation of this procedure to the patient? 6. A patient weighting 43 lb has an order I am sending you to have a big cam- era take picture of your body Yes, the safe range is 975 to 1,950 fro intravenous cefuroxime 475 mg Q8 mg/day hr. The safe dose range is 50 to 100 mg/kg/day. Is the order safe? 7. The provider has given an order for ac- etaminophen suspension 240 mg oral- ly every 4 - 6 hr as needed for fever. Which of the following considerations does the nurse need to remember when administering acetaminophen? Acetaminophen can affect lab test results for WBC and H+H 8. A nurse must administer maintenance 1,475 mL/day fluid intravenously to a patient weight 43 lb. What is the daily maintenance fluid requirement for this patient? 9. VSIM WASH HANDS IDENTIFY CHILD IDENTIFY RELATIVE ALLERGIES VS AUSCULTATE LUNGS ASSESS IV ADMIN CEFUROXIME 475 ADMIN AZITHROMYCIN 190 ADMIN ACETAMINOPHEN 240 CALL PROVIDER GIVE 10L O2 WITH NONRE- BREATHER ADMIN ALBUTEROL 2.5 PATIENT EDUCATION RELATIVE EDUCATION 10. The nurse is preparing Sadina for her nebulized albuterol treatment. Which of the following demonstrates that the nurse understands developmental- ly appropriate communication? 11. What techniques can the nurse employ when providing care for Sabina and her family to reduce the overall stress of hospitalization (SATA) 12. When teaching Sabina's mother how to recognize respiratory distress, what is the best way to determine whether the teaching has been effective? 13. After giving discharge instructions, which response by Sabina's mother in- dicates that teaching has been effec- tive? 14. Sabina was discharged with instruc- tions to complete the course of oral azithromycin started during her hos- pitalization. The next day, her mother calls asking how to prepare the med- ication for administration. How would the nurse instruct the mother to pre- pare 3.8 mL of this medications for ad- ministration? 15. The nurse is planning care for a preschooler hospitalized with pneu- monia. Which of the following are ap- propriate choices to offer when admin- istering oral medications? (SATA) Some kids say the breathing treat- ment makes them feel a little shaky 1) involve the family in daily care and give the patient simple choice when possible 2) Provide copies of written materi- als in both english and Spanish 3) Use a certified medical inter- preter to aid in communication Have the mother point to areas on the body and describe what she is looking for Even is she is feeling better, Sabina must finish taking her oral antibi- otics as ordered Use the calibrated syringe provid- ed to draw up the medication and check dose to eye level 1) after you take your medicine, would you like a puppy sticker or a heart sticker? 2) Which do you want to take first: the pink medicine or the yellow medicine? 16. Which of the following children should receive the pneumococcal vaccine? (SATA) 17. The nurse is caring for a patient who is showing signs of respiratory distress. List the interventions in the order that they should be performed 18. A nurse is administering medications and fluids intravenously to a pedi- atric patient. Which of the following must the nurse do to prevent compli- cations? 19. The nurse is caring for a patient hos- pitalized with an asthma exacerbation secondary to pneumonia. Which of the following is the highest priority nurs- ing diagnosis for this patient? 3) Do you want to drink water or apple juice with your medicine? 4) Who do you want to squirt the medicine in your mouth, you or me 1) 4 yr old with congenital heart disease who has recieved an age appropriate series 2) 2 month old who is at a well child check up 3) 3 yr old who has not recieved any immunizations 4) 6 months old who was born 25 wks gestations 1) Elevate the head of bed and reposition patient 2) Encourage the patient to cough to clear the airway 3) apply oxygen and titrate flow as needed 4) collect sputum to send to the lab for culture 5) Administer and antipyretic and antibiotic as ordered Use standard precautions when assessing the insertion site and handling tubing per institution pro- tocol Impaired gas exchange related to excess mucus production and car- bon dioxide retention [Show Less]