21. The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation. Which is essential in this child’s care?

a. Monitor pulse oximetry.

b. Monitor arterial blood gases.

c. Administer oxygen if respiratory distress develops.

d. Administer oxygen if child’s lips become bright, cherry red.

22. A nurse is admitting an infant with asthma. The nurse understands that asthma in infants is usually triggered by:

a. medications.

b. a viral infection.

c. exposure to cold air.

d. allergy to dust or dust mites.

23. A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma?

a. There is heightened airway reactivity.

b. There is decreased resistance in the airway.

c. The single cause of asthma is an allergic hypersensitivity.

d. It is inherited.

24. A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?

a. Nonproductive cough, wheezing

b. Fever, general malaise

c. Productive cough, rales

d. Stridor, substernal retractions

25. It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because which disease or assessment findings may develop?

a. Cough

b. Osteoporosis

c. Slowed growth

d. Cushing syndrome

26. b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action?

a. Liquefy secretions.

b. Dilate the bronchioles.

c. Reduce inflammation of the lungs.

d. Reduce infection.

27. Parents of two school-age children with asthma ask the nurse, “What sports can our children participate in?” The nurse should recommend which sport?

a. Soccer

b. Running

c. Swimming

d. Basketball

28. Which drug is usually given first in the emergency treatment of an acute, severe asthma episode in a young child?

a. Ephedrine

b. Theophylline

c. Aminophylline

d. Short-acting b2 agonists

29. Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications?

a. If it is present in a child, both parents are carriers of this defective gene.

b. It is inherited as an autosomal dominant trait.

c. It is a genetic defect found primarily in non-Caucasian population groups.

d. There is a 50% chance that siblings of an affected child also will be affected.

30. A nurse is teaching nursing students about clinical manifestations of cystic fibrosis (CF). Which is/are the earliest recognizable clinical manifestation(s) of CF?

a. Meconium ileus

b. History of poor intestinal absorption

c. Foul-smelling, frothy, greasy stools

d. Recurrent pneumonia and lung infections