Patho: Chapter 27

A 1-year-old female is diagnosed with croup. When the parent asks what caused this, what is the nurse's best response? The most likely cause of this disease is:
Viral Infection
While planning care, a nurse recalls respiratory distress and hypoxemia in laryngotracheobronchitis are caused by:
Mucosal edema
A 5-year-old male presents with high fever, inspiratory stridor, severe respiratory distress, drooling, and dysphagia. Which of the following behaviors by the student nurse would be a cause for concern?
The student nurse examines the throat for redness.
A 10-year-old male was diagnosed with obstructive sleep apnea. When the parents ask what treatment comes next, how should the nurse respond? The treatment that will most likely be tried first is:
Tonsillectomy and a denoidectomy (T&A)
A newborn has respiratory distress syndrome. When obtaining the patient's history, which of the following is the most important predisposing factor for this condition?
Premature birth
A newborn has respiratory distress syndrome. A nurse monitors the newborn for atelectasis because of:
A lack of surfactant
A newborn has respiratory distress syndrome. A nurse recalls cardiovascular alterations seen in respiratory distress syndrome include:
Opening of fetal shunt pathways
A newborn has respiratory distress syndrome (RDS). The nurse reports this condition appeared:
Within minutes of birth
During a respiratory assessment of an infant with respiratory distress syndrome, a sinking in the supraclavicular and intercostal areas of the thorax was noted with inspiration. This observation is documented as:
An infant was born 10 weeks premature and put on mechanical ventilation. Two months later he presents with hypoxemia and hypercapnia. Which of the following is the most likely diagnosis the nurse will observe documented on the chart?
Bronchopulmonary dysplasia (BPD)
A 6-month-old female presents with rhinorrhea, cough, poor feeding, lethargy, and fever. She is diagnosed with bronchiolitis. Which of the following will the nurse most likely observe on the culture report?
Respiratory syncytial virus
A 2-year-old male presents with fever and cough. He is diagnosed with pneumonia. While planning treatment for this patient, the nurse recognizes that which of the following is the most likely cause?
An 11-year-old female presents with a low-grade fever and cough. She is diagnosed with atypical pneumonia. What type of pneumonia does the nurse suspect the patient is experiencing?
Mycoplasma pneumonia
A 2-week-old female presents with fever, cough, respiratory distress, and empyema. Which of the following is the most likely diagnosis the nurse will observe on the chart?
Staphylococcal pneumonia
A 9-year-old male contracted influenza. Which of the following complications is of greatest concern to the nurse?
Bronchiolitis obliterans
While planning care for a child with asthma, which of the following is characteristic of asthma?
Prolonged expirations
A 14-year-old male is experiencing an asthma exacerbation. When reviewing the lab results, which of the following cells in the submucosa promote this inflammatory response and will be elevated?
A 13-year-old female is diagnosed with asthma. Which of the following should the nurse teach the patient to recognize as part of an asthmatic attack?
A geneticist is discussing cystic fibrosis (CF). Which information should be included? CF is an _____ disease.
Autosomal recessive
A 2-year-old female fell in a swimming pool and nearly drowned. She then developed acute respiratory distress syndrome (ARDS). Which of the following should the nurse assess the patient for?
While reviewing lab results, to help confirm a diagnosis of cystic fibrosis in a 1-year-old child which substance will be present in the child's sweat?
Sodium Chloride
A 7-month-old male presents with cystic fibrosis (CF) accompanied by failure to thrive and frequent, loose, and oily stools. Sweat testing reveals increased chloride. Which of the following should the nurse observe for that would accompany this disease?
A thick mucus
A young patient is admitted to the pediatric unit with cystic fibrosis (CF) exacerbation. The nurse monitors the patient closely because the main cause of death in a child with CF is:
respiratory failure
A nurse is teaching about sudden infant death syndrome (SIDS). Which information should the nurse include? SIDS peaks between _____ and ____months of age.
3 and 4
A 5-month-old female is found dead in her crib. The coroner ruled sudden infant death syndrome (SIDS) as the cause of death. Which of the following risk factors is most likely associated with SIDS?
Frequent respiratory infections
To prevent sudden infant death syndrome, the nurse should instruct parents to:
Always lay infants down on their backs to sleep
A 1-year-old female is diagnosed with croup. Which of the following symptoms is most likely to be present when the nurse performs an assessment? (Select all that apply.)
Barking cough
A nurse remembers bronchiolitis mainly occurs in children under the age of _____.
Asthma affects ____% of children between 5 and 17 years of age.