NUR 235 Exam 4 Study Questions and Correct Answers
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Course
NUR 235
Institution
NUR 235
Shorter airway (4 mm in diameter compared to 20 mm) - flexible larynx is susceptible to spasms - flexible trachea is susceptible to collapse - decreased amount of alveoli - underdeveloped lungs - infants are obligatory nose breathers (until 4 weeks) which anatomical differences make caring for chil...
NUR 235 Exam 4 Study Questions and
Correct Answers
- Shorter airway (4 mm in diameter compared to 20 mm)
- flexible larynx is susceptible to spasms
- flexible trachea is susceptible to collapse
- decreased amount of alveoli
- underdeveloped lungs
- infants are obligatory nose breathers (until 4 weeks) ✅which anatomical differences
make caring for children with respiratory disorders different than caring for adults?
True. This creates a higher oxygen demand. ✅t or f? An infant's metabolic rate is
almost twice as high as an adult's metabolic rate.
If the infant is in respiratory distress. Iv feedings & fluids should be initiated until oral
intake is acceptable. ✅when should oral feedings be discontinued for infants?
Supine with hob elevated 45 degrees ✅what is the ideal position for optimal chest
expansion?
- tachypnea & tachycardia
- intercostal retractions
- paradoxical breathing
- restlessness
- grunting
- nasal flaring
- diaphoresis (except in neonates)
- clubbing of fingertips
- acrocyanosis (normal in infants up to 48 hours) ✅what are the s/s of respiratory
distress?
- pulse oximetry
- oxygen therapy
- nebulized aerosol
- mdi or dry powder inhaler
- chest physiotherapy
- suctioning (nt, ot, et, tracheal)
- artificial airway insertion ✅methods used to increase oxygenation and improve &
monitor respiratory functioning include...
- determine which type of device should be used (i.e. Mouthpiece, mask, or blow-by)
- assess vs and o2 saturation prior to & after administration
- monitor for bronchospasms
,- *teach child to take slow, deep breaths by mouth* ✅nursing management for
nebulized aerosol therapy includes...
- shake the inhaler 5-6 times
- attach the spacer
- take a deep breath and exhale
- use the open-mouth or closed-mouth method
- press the inhaler and take a *slow, deep breath*
- hold breath for 5-10 seconds
- wait at least 1 minute between puffs if an additional puff is needed
- *rinse mouth out after use* ✅describe the proper way to use a metered-dose inhaler.
- *do not shake the device*
- exhale completely
- place device between the lips and take a *fast, deep breath*
- hold breath for 5-10 seconds
- wait prescribed length of time if an additional puff is needed
- rinse the inhaler, cap, and spacer once daily ✅describe the proper way to use a dry
powder inhaler.
- at least 1 hour before eating
- at least 2 hours after eating ✅when should chest physiotherapy be performed in
relation to mealtimes to prevent gi upset?
Venturi mask ✅which oxygen delivery device provides the most accurate control of
oxygen administration?
- infants: less than 5 seconds
- children: less than 10 seconds ✅how long should each suctioning pass be performed
on infants and children?
False. You should suction as you withdraw the catheter, rolling the catheter between the
fingers. ✅t or f? Suctioning is performed as you insert the catheter.
- *earache & tugging at the ears*
- *bulging, red, or opaque eardrum*
- *purulent, foul-smelling drainage*
, - nonspecific s/s of infection (i.e. Fever, n/v, crying, anorexia) ✅what are the s/s of
otitis media?
- breastfeeding
- discontinue pacifier after 6 months
- feed children sitting straight up
- avoid smoking in the house
- immunizations (i.e. Pcv 13 @ 2, 4, 6 months & flu vaccine beginning @ 6 months)
✅methods used to prevent ear infections can include...
- *tenderness of the tragus and/or pinna*
- edematous auricle
- purulent drainage ✅what are the s/s of otitis externa?
With pharyngitis, there is no sneezing or irritation of the nose. ✅what is the main
difference between the s/s of nasopharyngitis and pharyngitis?
- antihistamines
- antibiotics ✅which medications are not recommended for nasopharyngitis?
- three or more episodes of tonsillitis per year
- chronic tonsillitis
- streptococcus carrier ✅what are relative indications for a tonsillectomy?
- recurrent peritonsillar abscesses
- airway obstruction ✅what are absolute indications for a tonsillectomy?
- hypertrophied adenoids
- obstruction of the nasal passages
- recurrent adenoiditis or sinusitis
- sleep apnea
- mouth breathing ✅indications for an adenoidectomy include...
- *check for evidence of bleeding* (i.e. Frequent swallowing, restlessness, bright red
emesis, tachycardia, pallor)
- place in side-lying or prone position immediately post-op to facilitate drainage
- do not give red or purple popsicles
- do not use a tongue depressor for assessment
- provide an ice collar
- administer analgesics & antiemetics ✅nursing management post-operative for a
tonsillectomy includes...
- *no using a straw*
- *no coughing, sneezing, or blowing nose*
- no milk products
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