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NUR 257 ( LATEST 2024 / 2025 ) EXAM 2 | QUESTIONS AND ANSWERS INCLUDED
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NUR 257 ( LATEST 2024 / 2025 ) EXAM 2 | QUESTIONS AND ANSWERS INCLUDED
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NUR 257 Exam 21. Why do younger children have an increased risk for respiratory infections?-
Answer
smaller airway diameter, shorter respiratory tract, short and open eustachian tube
2. nursing diagnoses for respiratory infections
Answer
ineffective breathing pattern, ineffective airway clearance, risk for infection, activity tolerance
3. pt goals for respiratory infection
Answer
have adequate oxygen, demonstrate effective clearance of secretions, have effective respirations
4. s/s of respiratory tract infection
Answer
fever, poor feeding and anorexia, vomiting, diarrhea, abdominal pain, nasal blockage, nasal
discharge, cough, respiratory sounds, sore throat, HA, nuchal rigidity
5. prevention measures for respiratory infection
Answer
use of tissues when coughing/sneezing, proper disposal of used tissues, frequent handwashing,
don't share cups
,6. what is included in a respiratory assessment?
Answer
rate, depth and ease of breathing, labored breathing
onset, at rest or w/ exertion, rhythm, temperature, nose
drainage, color, consistency, amount, mouth
mm, moisture, color, throat
color, moisture, "spots" soreness, chest
movement equal, retractions, cough
harsh, dry, wet, continuous, lung sounds
wheezes, crackles, stridor, skin coloration
cyanosis, pale, flushed, chest pain, impact on feeding
7. tx of ear infection
Answer
, ATB, tylenol/ibuprofen, external application of warm pad. Myringotomy w/ tympanostomy
tubes, encourage fluid intake, soft diet, lie w/ affect- ed ear down, antipyretics/analgesics
8. importance of humidification
Answer
loosens secretions and soothe the cough, reduce irritants (smoke, dust, chemical fumes)
9. importance of finishing medication
Answer
if pt doesn't finish medication then some of the bacteria will still remain alive, it will grow
stronger and then multiply , making the sickness harder to tx
10. pain interventions for a child with pneumonia
Answer
raise HOB, have child lay on affected side to splint chest and reduce discomfort caused by
pleural rubbing. This also increases the blood flow to the affected areas
11. asthma
Answer
cause
intrinsic (stress) or extrinsic (environment). Sx
hacking cough, SOB, audible and auscultated wheezes, restless/apprehensive, cyanosis, use of
accessory resp muscles, nasal flaring, dyspnea. Dx
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