Please answer these questions.    1.Which statement regarding…

 

Please answer these questions. 

 

1.Which statement regarding bronchiolitis in the pediatric population is not true?

1. Bronchiolitis occurs primarily in the winter and early spring.
2. Bronchiolitis is an acute infection which primarily affects the bronchiolar level of the lungs.
3. Bronchiolitis is a result of the seasonal influenza virus most of the time.
4. By the age of 3 years, most children will be affected by bronchiolitis at least one time.

2.Which best describes the pathophysiological process of bronchiolitis?

1. Exaggerated response of the bronchi to a trigger causing bronchospasm
2. Inflammation of the mucosa lining the larynx and trachea causing a narrowing of the airway
3. Inflammation of the primary parenchyma of the lungs
4. Edema and secretions of the lower respiratory tract causing gradual lower airway obstruction

3.A 3-month-old infant admitted with RSV is crying loudly during IV insertion and the mother of the infant is becoming upset. Which intervention would be most appropriate?

1. Return to complete the IV insertion at a different time when the infant is consoled
2. Ask the mother whether the infant is typically consoled with a pacifier and, if so, ask her to offer the baby one
3. Utilize verbal cooing or story-telling to console the infant while placing the IV
4. Continue with IV insertion, speeding up your process to minimize the time the child is in distress

4.A 5-month-old male infant admitted with a diagnosis of bronchiolitis has a respiratory rate of 38, a heart rate of 150, a capillary refill of greater than 3 seconds, a saturation of 88%, and clear secretions in his nasopharynx and oropharyx. The proper sequence for nursing interventions would be:

1. to administer 100% oxygen, position the airway, and administer isotonic solution as ordered at 20 mL/kg IV.
2. to suction the airway, administer oxygen, and administer isotonic solution as ordered at 20 mL/kg IV.
3. to auscultate breath sounds, administer oxygen, and administer isotonic solution as ordered at 20 mL/kg IV.
4. to suction the airway, administer 100% oxygen, and encourage oral fluid intake.

 

 

 

5.The father of an infant admitted for respiratory distress asks the nurse how they will do the testing for RSV that the physician ordered. The nurse explains that:

1. RSV is tested in the blood. The phlebotomist will perform a heel stick on the infant.
2. RSV testing is similar to the testing done for strep throat. I will need to swab the back of the infant’s throat and her nose with a special cotton stick applicator.
3. RSV is tested through biopsy. The physician will do this by placing a flexible scope down the infant’s nose and obtaining a specimen.
4. RSV is tested though nasal washing. I will squirt saline in the infant’s nose and then suck the contents into a container using a syringe.

6.Which medication might the nurse anticipate as part of the supportive therapy for a 7-month-old, full-term infant diagnosed with bronchiolitis and RSV?

1. Lyophilized powder form of palivizumab
2. Ceftriaxone
3. Albuterol
4. Acetaminophen

7.The nurse knows that all of the listed options are appropriate ways to provide supplemental oxygen to a 2-month-old infant with a BP of 92/50, a cap refill of 2 seconds, a respiratory rate of 23, and a pulse oximetry reading of 88% on room air, except?

1. Nasal cannula
2. Oxygen tent
3. Face mask
4. Bag valve mask

8.A nurse has been repositioning an infant’s pulse oximetry probe every 3-4 hours. The nurse knows that the primary rationale behind this intervention is:

1. to prevent skin breakdown.
2. to improve readings from the LED light.
3. to check capillary refill on the sight of the probe.
4. to prevent burning from the electrode.

9.A nurse is caring for an infant receiving maintenance IV fluid of dextrose 5% in ¼ normal saline through a peripheral IV. In which situation should the IV be shut off?

1. The infant’s blood glucose reads 118.
2. The infant’s creatine is 0.2 mg/dL.
3. The IV site is edematous and flushes with resistance.
4. The nurse is unable to draw blood work from the peripheral IV site.

 

Post Simulation Questions:

10.Based on the results of Haley’s rapid immunofluorescent antibody test, which statement is true?

1. Standard precautions should be maintained
2. Standard and droplet precautions should be maintained
3. Contact and standard precautions should be maintained
4. Respiratory and standard precautions should be maintained

11.Which might be an appropriate intervention when explaining the plan of care to Haley’s mother?

1. Utilizing an interpreter to ensure there is no language barrier present
2. Asking her to have a neighbor come to the hospital to support her and to translate
3. Providing written instructions or asking her to write her responses due to the language barrier
4. Being sure to note the differences in standards of care between America and Russia

12.Upon reassessment of Haley, the nurse notes the infant to be listless with a respiratory rate of 6. The nurse’s next action would be to:

1. assess pulse oximetry and call for help.
2. place oxygen on the patient and call for help.
3. suction Haley’s airway and call for help.
4. begin bag valve ventilations on Haley and call for help.

13.As Haley’s mother is preparing to give Haley a bottle of Pedialyte, the nurse notes that Haley has copious nasal secretions. The most appropriate nursing intervention would be to:

1. Assess Haley for any signs of respiratory distress
2. Check Haley’s pulse oximetry level
3. Use a bulb syringe to suction Haley’s nares
4. Explain to Haley’s mother that Haley should not be receiving Pedialyte

14.Upon discharge of Haley from the hospital, which statement best indicates that Haley’s mother understands the plan of care?

1. “I will utilize this bulb syringe to suction her nose when she has discharge.”
2. “Since she has had RSV once, she is now immune to further episodes.”
3. “Haley should receive palivizumab during the next influenza season.”
4. “Haley should wear a mask at home when around her 2-year-old healthy brother.”

 

 

 

15.The main therapeutic management of bronchiolitis includes:

1. symptomatic treatment with oxygen, fluid, and airway maintenance.
2. treatment guided towards bronchodilator therapy.
3. symptomatic treatment with humidified oxygen and IV fluid replacement.
4. treatment with antibiotics and antiviral agents.

16.When obtaining an axillary temperature in Haley, the nurse knows which statement to be true?

1. keeping Haley’s arm close to her body will increase accuracy.
2. axillary temperature is the most accurate in an infant Haley’s age.
3. an oral temperature for Haley would be preferred over an axillary temperature.
4. axillary temperature is typically higher than rectal temperature.

 

 

 

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