NUR 331 Exam 2 Study Questions and Correct Answers
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Course
NUR 331
Institution
NUR 331
Why do we switch sites for pulse ox? the red light emission can burn the skin; rotate sites
General nursing measures to ease respiratory efforts positioning Cool or warm mist (NO STEAM) Saline drops with bulb suctioning* babies Bedrest or quiet activities *hand-washing Hydration Immunizations Judi...
NUR 331 Exam 2 Study Questions and
Correct Answers
Why do we switch sites for pulse ox? ✅the red light emission can burn the skin; rotate
sites
General nursing measures to ease respiratory efforts ✅positioning
Cool or warm mist (NO STEAM)
Saline drops with bulb suctioning* babies
Bedrest or quiet activities
*hand-washing
Hydration
Immunizations
Judicious room assignments (don't put patients with a infectious respiratory infection
with someone who does not have the same infection)
Don't overuse abx (most resp. Infections are viral)
PROMOTE HYDRATION (and let them self regulate nutrition, water and pedialyte best
not gatorade)
Interventions to promote oxygenation ✅coughing and deep breathing
Suctioning**
Neb
Percussion and postural drainage (cupped hand)
CPT (squeezing, vibration)
Supplemental O2
Incentive spirometer if older
Blow bubbles if younger
**SUCTION B4 giving O2
Nasopharyngitis ✅most often viral
No over the counter meds <3
Tylenol or advil/ibuprofen if >6m
Tonsilitis ✅symptomatic care
Hydration, rest, Tylenol
Viral
DO STREP TEST TO RULE OUT STREP
Strep Pharyngitis ✅STREP TEST (have kid hold breath to avoid vomiting)
Rapid onset, sore throat, must come in for strep test
Can lead to rheumatic fever or glomerulonephritis if left untreated
Antibiotic for 10 d
, Can go back to school 24 h after starting
Take full course
Highly communicable via saliva
Tonsilectomy ✅recurrent tonsilitis
Not as common bc can be deadly
S/S OF BLEEDING (excessive swallowing)> do focused assessment
Blood tinged drooling normal
STRIDOR = inflammation bad
No sucking, coughing, laughing
*sherbert diet
ICE COLLARS
High risk of bleeding immediately after and 8-10 d when scabs come off**
Otitis externa ✅swimmers ear
Foul drainage, stink, medium for growth
Ear drops
Prone to it? Ear plugs, drops
Otitis media ✅normally heal w.o antibiotic but can't sleep, in lots of pain
S/S? Irritable, holding or pulling at ear, roll head side to side, fever up to 104
How to prevent? Immunize, no smoking, treat allergies (always look for a runny nose,
can be started on Zyrtec at 6M), stop pacifier use after infancy, drinking while sitting
more upright
**SMOKE EXPOSURE IS BIGGEST RISK FACTOR, drinking bottles while laying flat,
unimmunized, new to school, pacifier past infancy, non-breast fed
Amoxicillin is drug of choice
Can lead to hearing loss if chronic! > PE tubes
PE Tubes management ✅multiple middle ear infections> scarring, hearing loss>
speech probs
No diving, jumping or prolonged submerision
Limit coughing, sneezing
Avoid pressure
Wear ear plugs when swimming
No lakes or rivers (bacteria)
Viral Croup ✅pediatric with barking cough & stridor;
Treat with racemic epinephrine (WATCH REBOUND) & glucocorticoids if stridor at rest
Cool air can help, humidity, increase fluids
No OTC meds
Make sure they are still drinking
Hold food if RR above 60
Specific nursing interventions:
Measures to conserve energy! Encourage parents to stay at bedside to reduce anxiety
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