1600_Respiratory_Practice_Questions_with_Rationales.docx

1. A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.) a. Symptoms are continuous throughout the day. R Symptoms are continu ...

1. A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.) a. Symptoms are continuous throughout the day. R Symptoms are continuous throughout the day is incorrect. Continual asthma symptoms throughout the day are seen with severe persistent asthma. b. Daytime symptoms occur more than twice a week. R Daytime symptoms occur more than twice a week is correct. A child with mild persistent asthma will typically have daytime symptoms more than twice a week, but not daily. c. Nighttime symptoms occur approximately twice a month. R Nighttime symptoms occur approximately twice a month is incorrect. Nighttime symptoms occurring approximately twice a month are seen with intermittent asthma. d. Minor limitations occur with normal activity. R Minor limitations occur with normal activity is correct. A child with mild persistent asthma will have some minor limitations with normal daily activities. e. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value. R Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value is correct. A child with mild persistent asthma will have a PEF greater than or equal to 80% of the predicted value. 2. A nurse is planning care for a child with suspected epiglottitis. Which of the following is an appropriate action for the nurse to take? a. Obtain a throat culture R Obtaining a throat culture on a child with suspected epiglottitis could precipitate obstruction of the airway and should be avoided. b. Place client in an upright position R Placing the child in an upright position will assist in maintaining a patent airway and is an appropriate action for the nurse to take. c. Transfer for a throat x-ray R The airway of a child with suspected epiglottitis could become obstructed easily, therefore transferring for a throat x-ray is not an appropriate action for the nurse to take. d. Visualize the epiglottis with a tongue depressor R Visualizing the epiglottis with a tongue depressor on a child with suspected epiglottitis could precipitate obstruction of the airway and should be avoided. 3. A nurse is caring for a pre-school age child who has a epiglottitis with a barking cough. Which of the following is an appropriate nursing action? a. Encourage coughing. R Encouraging the client to cough is not an appropriate nursing and precipitates a complete obstruction. b. Attempt to obtain a throat culture. R Attempting to obtain a throat culture is not an appropriate nursing action and may precipitate a complete obstruction. c. Visualize the back of the throat. R Trying to visualize the back of the throat is not an appropriate nursing action and may precipitate a complete obstruction. d. Apply oxygen. R Applying high-flow oxygen on the client and keeping the client calm is an appropriate action by the nurse to improve oxygenation. 4. A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute? a. “Newborns are abdominal breathers.” R Newborns are abdominal breathers. However, this has no impact on obtaining a respiratory rate. b. “Newborns do not expand their lungs fully with each respiration.” R The labor of breathing in a newborn will vary. However, this has no impact on obtaining a respiratory rate. c. “Activity will increase the respiration rate.” R Activity will increase the respiration rate. However, this has no impact on obtaining a respiratory rate.