NUR 425 Exam 3 Practice Questions and Correct Answers
6 views 0 purchase
Course
NUR 425
Institution
NUR 425
Why do children contract respiratory diseases more rapidly? there respiratory structure are in closer proximity
How do a child's eating behaviors relate to their ability to contract respiratory diseases? anatomical difference results in easier pulling of gunk into their ears
How is a baby's eusta...
NUR 425 Exam 3 Practice Questions and
Correct Answers
Why do children contract respiratory diseases more rapidly? ✅there respiratory
structure are in closer proximity
How do a child's eating behaviors relate to their ability to contract respiratory diseases?
✅anatomical difference results in easier pulling of gunk into their ears
How is a baby's eustachian tubes anatomically different than an adult's? ✅baby's are
shorter, wider, and straighter
Why is the anatomical difference between a baby's eustachian tube and an adult's a
problem? ✅the shorter, wider, straighter eucstachian tube is more difficult to drain
When assessing a baby's ear canal, what is the proper way to move the pinna?
✅down and back
At what age do you move the pinna down and back, when assessing the ear canal?
✅<3 years old
When assessing a pt who is 3+ years old, what is the proper way to move the pinna,
when assessing the ear canal? ✅up and back
At what age do you move the pinna up and back, when assessing the ear canal? ✅3+
years old
If a child is really struggling to breathe, where would retractions be seen?
✅suprasternal
What are important areas to focus on for a respiratory assessment? ✅-presence of
cough
-color
-level of activity
-breath sounds
-presence or absence of nasal flaring or grunting
What does a stridor indicate? ✅tracheal swelling
What breath sound is caused by tracheal swelling? ✅stridor
,What is the number one goal for a child in respiratory distress? ✅maintain airway and
gas exchange
What are interventions for maintaining a child's airway and gas exchange? ✅-monitor
child for and teach parents s/s of resp distress
-administer cool mist
-encourage fluids
-suction prn
-position with hob elevated
-maintain o2 therapy
-monitor o2 sats/abgs
-administer meds (specific to disease)
What is the number one intervention for maintain a child's airway and gas exchange?
✅position pt with hob elevated
What type of mist can be administered to a child to help maintain their airway and gas
exchange? ✅cool mist
When should a child be suctioned? ✅generally only if an endotracheal tube, and if
awake and child is having trouble excreting
What is the order of interventions for maintaining a child's airway and gas exchange?
✅1. Hob elevated
2. Administering meds (specific to disease)
3. Suction prn
What are goals for a child in respiratory distress? ✅-#1: maintain airway and gas
exchange
-reduce oxygen demands
-prevent dehydration
What are interventions to help reduce a child's oxygen demands? ✅-monitor temp q2-
4h
-provide for periods of rest
-administer antipyretics as ordered
-tepid sponge bath
How often should a child's temp be monitored, when they are in respiratory distress?
✅q2-4h
What are interventions to help prevent dehydration in children with respiratory distress?
✅-monitor for and teach parents s/s of dehydration
-encourage flds if tolerated
-maintain iv flds
,What should be educated to parents on what to best way to monitor fld status is?
✅weight
What are examples of diseases of the respiratory tract? ✅-otitis media without effusion
-acute otitis media
-otitis media with effusion
-croup
-laryngotrachealbronchitis
-epiglottitis
-bronchiolitis
-asthma
What is otitis media? ✅ear infection
What is an ear infection medically known as? ✅otitis media
What is an ear infection with fluid in the ear? ✅otitis media with effusion
What is otitis media with effusion? ✅ear infection with fluid in the ear
What is the inflammation of the middle ear and tympanic membrane? ✅otitis media
without effusion
What is otitis media without effusion? ✅ear infection: inflammation of the middle ear
and tympanic membrane
How does the tympanic membrane appear in a pt with otitis media without effusion?
✅erythema on inspection of tympanic membrane
If a child is receiving a routine physical exam, and the physician finds that his tympanic
membrane is red upon inspection, however the child has no compaints, what is the
child's diagnosis? ✅otitis media without effusion
What type of ear infection (otitis media) typically is asymptomatic? ✅otitis media
without effusion
What tx is given for otitis media without effusion? ✅none, this heals on its own
What type of ear infection (otitis media) does not need treatment, because it heals on its
own? ✅otitis media without effusion
What do painful ear infections indicate? ✅fluid behind the ear drum
, What is acute otitis media? ✅inflammation of the middle ear characterized by a rapid
and short onset of s/s
What is the inflammation of the middle ear that is characterized by a rapid and short
onset of s/s? ✅acute otitis media
What are assessment findings are related to acute otitis media, upon inspection? ✅full
and bulging, opaque tympanic membrane
What does a full and bulging, opaque tympanic membrane indicate? ✅acute otitis
media
What is the acute onset of ear pain, fever, purulent drainage if tympanic membrane is
perforated, irritability, anorexia, vomiting, diarrhea and hearing loss indicative of?
✅acute otitis media
What s/s are related to acute otitis media? ✅-acute onset of ear pain, fever, purulent
drainage if tympanic membrane is perforated, irritability, anorexia, vomiting, diarrhea,
and hearing loss
-full and bulging, opaque tympanic membrane upon inspection
-sticking objects in ear
-pulling at ear (12 months+)
If a 12 month old or older child is sticking stuff in their ears, what could this possibly
indicate? ✅acute otitis media
If a 12 month old or older child pulls at their ear constantly, what could this possibly
indicate? ✅acute otitis media
What is acute otitis media treated with? ✅antibiotics
What type of ear infection (otitis media) receives antibiotic treatment? ✅acute otitis
media
How does otitis media with effusion appear upon inspection? ✅full, bulging tympanic
membrane
What does a full, bulging tympanic membrane upon inspection indicate? ✅otitis media
with effusion
What is typically the only clinical symptoms associated with otitis media with effusion?
✅hearing loss
What type of otitis media is common with allergies? ✅otitis media with effusion
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.