Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A patient's flow chart is as below.
0800
- Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%.
- Admit to the paediatric floor
- Monitor heart rate and oxygen saturation continuously
- Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94%
0845
The nurse is reviewing the assessment.
Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.
A. A 5% dextrose
5% dextrose: Dextrose is a type of sugar solution used for various purposes, including providing energy. However, it is not indicated for the immediate management of inspiratory stridor and respiratory distress.
B. Acetaminophen
Acetaminophen: Acetaminophen is a fever and pain reducer. While fever control might be important, it doesn't address the child's primary respiratory symptoms.
C. Albuterol
Albuterol: Albuterol is a bronchodilator that helps to relieve bronchoconstriction and improve airflow. It is commonly used to treat wheezing and respiratory distress in conditions like croup.
D. Racemic epinephrine
Racemic epinephrine: Racemic epinephrine is a vasoconstrictor and bronchodilator that can help reduce upper airway edema and improve breathing. It is often used in the treatment of croup to alleviate stridor.Incorrect answers:
E. Morphine
Morphine: Morphine is an opioid analgesic and can depress the respiratory drive. It is not indicated for the treatment of respiratory distress in a child with inspiratory stridor.
F. Aspirin
Aspirin is not recommended for use in children due to the risk of Reye's syndrome, a potentially serious condition. Additionally, aspirin does not address the child's respiratory symptoms.
This question is an excerpt from Nurse Dive's nursing test bank - RN HESI PAEDIATRICS Proctored Exam 2. Take the full exam now
Full Explanation
C. Albuterol: Albuterol is a bronchodilator that helps to relieve bronchoconstriction and improve airflow. It is commonly used to treat wheezing and respiratory distress in conditions like croup.
D. Racemic epinephrine: Racemic epinephrine is a vasoconstrictor and bronchodilator that can help reduce upper airway edema and improve breathing. It is often used in the treatment of croup to alleviate stridor.
Incorrect answers:
A. 5% dextrose: Dextrose is a type of sugar solution used for various purposes, including providing energy. However, it is not indicated for the immediate management of inspiratory stridor and respiratory distress.
B. Acetaminophen: Acetaminophen is a fever and pain reducer. While fever control might be important, it doesn't address the child's primary respiratory symptoms.
E. Morphine: Morphine is an opioid analgesic and can depress the respiratory drive. It is not indicated for the treatment of respiratory distress in a child with inspiratory stridor.
F. Aspirin: Aspirin is not recommended for use in children due to the risk of Reye's syndrome, a potentially serious condition. Additionally, aspirin does not address the child's respiratory symptoms.
Similar Questions
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
A. Remain with the client and call for help.
B. Place the client in the lateral position
C. Reorient and reassure the client.
D. Check the client for injuries.
Full Explanation
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
- Remain with the client and call for help.
- Place the client in the lateral position
- Reorient and reassure the client.
- Check the client for injuries.
A 3-year-old child was brought into the emergency room this morning with a sudden onset of "fast and noisy breathing". According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is found to have inspiratory stridor and retractions. He had a temperature of 97.7 degrees fahrenheit, a respiratory rate of 56 cycles/min and anSpO2 of 92% on room air. Will admit to the paediatric floor for treatment.
The nurse is reviewing the assessment.
Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.
A. 5% dextrose
5% dextrose: Dextrose is a type of sugar solution used for various purposes, including providing energy. However, it is not indicated for the immediate management of inspiratory stridor and respiratory distress.
B. Acetaminophen
Acetaminophen: Acetaminophen is a fever and pain reducer. While fever control might be important, it doesn't address the child's primary respiratory symptoms.
C. Albuterol
Albuterol: Albuterol is a bronchodilator that helps to relieve bronchoconstriction and improve airflow. It is commonly used to treat wheezing and respiratory distress in conditions like croup.
D. Racemic epinephrine
Racemic epinephrine: Racemic epinephrine is a vasoconstrictor and bronchodilator that can help reduce upper airway edema and improve breathing. It is often used in the treatment of croup to alleviate stridor.Incorrect answers:
E. Morphine
Morphine: Morphine is an opioid analgesic and can depress the respiratory drive. It is not indicated for the treatment of respiratory distress in a child with inspiratory stridor.
Find information about a client below.
The nurse collects items to replace the peripheral intravenous line.
Which 2 items must the nurse make sure is available before attempting to place the intravenous line?
A. Elbow restraints
Elbow restraints: Elbow restraints are not typically used during peripheral intravenous line placement. They are used to prevent children from bending their arms excessively after specific surgeries or procedures.
B. The child's favourite toy
The child's favorite toy: While having a favorite toy might help distract the child and reduce anxiety, it is not a critical item needed for the placement of a peripheral intravenous line.
C. Manual resuscitation bag
Manual resuscitation bag: In the case of a child with inspiratory stridor and retractions, there is a concern about airway obstruction. Having a manual resuscitation bag available is crucial to ensure that the child's airway can be effectively managed in case of respiratory distress.
D. A dose of subcutaneous epinephrine
A dose of subcutaneous epinephrine: Subcutaneous epinephrine is not used for the placement of an intravenous line. It is typically used to treat severe allergic reactions (anaphylaxis).
E. An advanced airway kit
An advanced airway kit: If the child's condition worsens and he experiences severe respiratory distress or failure, an advanced airway may be necessary to secure the airway and provide proper oxygenation. Having an advanced airway kit available is important in case intubation becomes necessary.
F. Nebulized albuterol
Nebulized albuterol: Nebulized albuterol is a medication used to treat bronchospasm in conditions such as asthma. While the child is experiencing respiratory distress, the priority is to secure the airway and provide oxygenation, which may involve using a manual resuscitation bag and an advanced airway kit.
Full Explanation
C. Manual resuscitation bag: In the case of a child with inspiratory stridor and retractions, there is a concern about airway obstruction. Having a manual resuscitation bag available is crucial to ensure that the child's airway can be effectively managed in case of respiratory distress.
E. An advanced airway kit: If the child's condition worsens and he experiences severe respiratory distress or failure, an advanced airway may be necessary to secure the airway and provide proper oxygenation. Having an advanced airway kit available is important in case intubation becomes necessary.
Incorrect answers:
A. Elbow restraints: Elbow restraints are not typically used during peripheral intravenous line placement. They are used to prevent children from bending their arms excessively after specific surgeries or procedures.
B. The child's favorite toy: While having a favorite toy might help distract the child and reduce anxiety, it is not a critical item needed for the placement of a peripheral intravenous line.
D. A dose of subcutaneous epinephrine: Subcutaneous epinephrine is not used for the placement of an intravenous line. It is typically used to treat severe allergic reactions (anaphylaxis).
F. Nebulized albuterol: Nebulized albuterol is a medication used to treat bronchospasm in conditions such as asthma. While the child is experiencing respiratory distress, the priority is to secure the airway and provide oxygenation, which may involve using a manual resuscitation bag and an advanced airway kit.