Pediatric Respiratory Conditions

Match the following

• Croup

• Reactive Airway Disease

• Apnea

• Serious obstructive inflammatory processes that occurs in children between 2-7 YOA

• Epiglottitis

• Earliest manifestation of Cystic Fibrosis

• Asthma

• Cessation of breathing for more than 20 secs. Hypoxemia or Bradycardia

• Meconium Ileus

• Characterized by hoarseness and a barking cough

The RN is caring for a child who had a tonsillectomy 2 hours ago; which sign or symptom most likely relates to a complication?

• Apical HR of 90 bpm

• BP 95/50

• Frequent Swallowing

• Nasal congestion

A 4 yea old is brought to the clinic with a fever of 103 F, a sore throat, moderate respiratory distress. The child is suspected to have a bacterial infection. Which medical diagnosis is a contraindication to obtaining a throat culture in the child?

• Tonsillitis

• Strep Throat

• Bronchiolitis

• Epiglottitis

The RN is caring for a 2 year old suspected of having Croup. Which early sign of respiratory distress requires the nurse's immediate attention?

• Cyanosis

• Restlessness

• Crying

• Barking cough

The RN is reinforcing teaching for a school aged child and the parent regarding the administration of inhaled Beclomethasone and Albuterol use for the treatment of Asthma. Which statement by the parent indicates that teaching has been effective?

• "My child knows which shelf the inhaler is kept on"

• "My child does not need a spacer for his inhaled medications"

• "My child should take the Bronchodilator first, then the corticosteroid"

• "My child should take the corticosteroid first and then the Bronchodilator"

The RN is reinforcing discharge teaching to the parent of a 4 year old with Cystic Fibrosis. Which statement by the parent demonstrates understanding of the teaching presented?

• We will discourage our child from playing outdoors

• We will use pancreatic enzymes only when needed

• We will wash our child's hands frequently

• We will schedule an appointment with a physical therapist

What is the most appropriate equipment to have at bedside for a child arriving via EMS to the ED with Epiglottitis?

• Bag mask and bronchodilators

• Tracheostomy set up and oxygen

• Suction and Oxygen

• Antibiotics and Suction

The nurse recommends all of the following to prevent Otitis Media EXCEPT:

• Feeding in an upright position

• Administration of the pneumococcal vaccine

• Hand Washing

• Swabbing the ear frequently with a q-tip

A child, age 3, is diagnosed with Pneumonia and has a persistent, wet cough. When assessing the child's respirations, the nurse should keep in mind that children normally use which muscles to breathe?

• Accesory

• Throacic

• Abdominal

• Intercostal