Campus Collusion
Review Questions for Test Preparation

       
    

  



Pediatric Respiratory SystemMaternity & Pediatric Nursing

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 6
Skip Navigation Links
Question Answer
What respiratory infection? Inflammation of the throat mucosa/pharynx
Show Answer
Acute Streptococcal Pharyngitis
What is the best indicator of whether a case of Acute Streptococcal Pharyngitis is bacterial or viral?
Show Answer
Nasal congestion, if present, it is most likely viral. If there are no nasal symptoms, it is most likely bacterial.
For viral cases of acute streptococcal pharyngitis, what are the usual treatments/recommendations?
Show Answer
Usually requires only supportive treatment. Saline gargles may be soothing, acetaminophen or ibuprofen can ease fever and pain, as well as sucking on throat lozenges. Popsicles, cool liquids and ice chips can relieve pain and provide hydration.
What respiratory infection? Intensely red throat with patchy yellow exudate, peritonsillar or retropharyngeal abscesses, fever, difficulty swallowing, bad breath, tongue with strawberry appearance, enlargement and tenderness of the anterior cervical nodes, possibly headache, fine, red sandpaper rash on the trunk or abdomen (scarlatiniform rash) or abdominal pain.
Show Answer
Bacterial acute streptococcal pharyngitis (Group A beta hemolytic streptococcus (GABHS)infection: “Strep throat.” )
How is strep throat typically treated?
Show Answer
Strep throat is treated with antibiotics, including penicillin, amoxicillin, augmentin (penicillin derivative), or omnicef or for those allergic to penicillin, macrolides or cephalosporins.
Once a child has had 24 hours of antibiotics, the child’s _______ should be discarded to prevent reinfection.
Show Answer
Toothbrush
What are possible complications of strep throat infection?
Show Answer
Complications of strep throat include acute rheumatic fever, an inflammatory disease of the heart, and acute glomerulonephritis (acute kidney disease)
How is strep throat diagnosed, how long does it take, and what treatment is recommended while waiting for the results?
Show Answer
Throat culture or rapid strep used for diagnostic purposes. Cultures take 3 days to come back. While waiting, prescribe an antibiotic and have the parent call back in three days. If it is negative, have them discontinue the antibiotic.
________ often occurs with pharyngitis and therefore can be viral or bacterial in nature.
Show Answer
Tonsillitis
At what point should a tonsillectomy be considered for a child who has had recurrent infections of tonsillitis?
Show Answer
Usually if child has more than 3 – 4 in one cold season a tonsillectomy (removal of the palatine tonsils) may be warranted
Download these questions to your phone here
What respiratory infection? Voice sounds may seem muffled or hoarse, redness or enlargement of the tonsils, snoring, mouth breathing, enlarged & tender anterior cervical nodes. May experience difficulty with breathing and swallowing. If the adenoids are enlarged as well, may have obstruction of the posterior nares.
Show Answer
Tonsillitis
What is the recommended treatment for tonsillitis?
Show Answer
Saline gargles may be soothing, acetaminophen or ibuprofen can ease fever and pain, as well as sucking on throat lozenges. Popsicles, cool liquids and ice chips can relieve pain and provide hydration.
A child has undergone a tonsillectomy/adenoidectomy and is immediately post-procedure. What position should the child be placed in?
Show Answer
Place the child in a side-lying or prone position to facilitate safe drainage of secretions
A child has undergone a tonsillectomy/adenoidectomy and is immediately post-procedure. Mom wants to know what the main milestone is in order for the child to be discharged. You tell her that the oxygen saturation levels must be at least ______.
Show Answer
O2 Sats need to be 95% before they can be discharged home.
A child has undergone a tonsillectomy/adenoidectomy and is immediately post-procedure. What will be placed in the child's nose to ensure a patent airway?
Show Answer
A nasal trumpet
A child has undergone a tonsillectomy/adenoidectomy and is immediately post-procedure. What are signs/symptoms of a possible hemorrhage?
Show Answer
Continuous swallowing of small amounts of blood while awake or sleeping, tachycardia, pallor, restlessness, frequent throat clearing, or emesis of bright, red blood are all possible signs of hemorrhage.
How long after a tonsillectomy/adenoidectomy is a child at risk for hemorrhage?
Show Answer
Up to 10 days after the procedure
A child has undergone a tonsillectomy/adenoidectomy and is immediately post-procedure. What are important education points to cover prior to discharge?
Show Answer
Discourage the child from coughing, clearing their throat, nose-blowing and using straws. Encourage fluids, aside from citric juices which may hurt and red/brown fluids which can resemble blood.
What respiratory infection? Acute self-limiting infectious disease that is common among young people under 25 years of age. It is caused by the herpes-like Epstein-Barr virus and is transmitted by oropharyngeal secretions. It is mildly contagious with an incubation period of 30 to 50 days.
Show Answer
Infectious Mononucleosis
What respiratory infection? Fever, sore throat, malaise, periorbital edema, inflammation of the pharynx and tonsils with gray exudate, petechiae on the palate, bilateral, non-tender posterior cervical lymph nodes. As the condition progresses (3-5 days), the pharynx may become more edematous, the tonsillar exudate more extensive, and the anterior cervical lymph nodes may become tender and swollen. A red maculopapular rash may also appear.
Show Answer
Infectious Mononucleosis
How is infectious mononucleosis diagnosed?
Show Answer
A test called the Monospot may be used to diagnose, but is usually negative if done during the first 7-10 days of illness. The Epstein-Barr virus titer is reliable at any time.
  
Page 6 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links