Respiratory Care Chapter Overview

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Questions and Answers

What are common signs and symptoms of cystic fibrosis in a patient?

Skin rash and muscle weakness

Increased appetite and weight gain

Chronic cough and wheezing (correct)

Sandy-colored stools and frequent urination

Which of the following is a key aspect of asthma management?

Using high-flow oxygen at home

Increasing caffeine intake

Monitoring respiratory status and triggers (correct)

Daily chest physiotherapy

What is an important nursing role in managing a patient with iron deficiency?

Encourage increased dairy intake

Educate on the normal darkening of stools (correct)

Suggest high-sugar snacks for energy

Administer IV fluids as needed

When managing cystic fibrosis, which therapeutic intervention is essential?

Daily chest physiotherapy Signup and view all the answers

Which dietary recommendation is appropriate for a patient with iron deficiency?

Increase intake of red meats and leafy greens Signup and view all the answers

In case of an asthma attack, which action should be prioritized?

Contact emergency services if symptoms worsen Signup and view all the answers

Which characteristic is associated with sickle cell disease?

Formation of sickle-shaped red blood cells Signup and view all the answers

What is an effective strategy for enhancing iron absorption in a patient?

Administer iron supplements with vitamin C Signup and view all the answers

What is a common symptom of respiratory syncytial virus (RSV) in infants?

Cough that may worsen Signup and view all the answers

What supportive care method is used to improve breathing in RSV cases?

Nasal suctioning Signup and view all the answers

Which medication is considered for severe cases of bronchiolitis with wheezing?

Corticosteroids Signup and view all the answers

What is a primary sign of asthma during an assessment?

Use of accessory muscles for breathing Signup and view all the answers

Which action is part of an asthma management action plan?

Written plan for symptom management Signup and view all the answers

What method can be used for monitoring asthma severity?

Use of a peak flow meter Signup and view all the answers

What is a key component of infection control for RSV?

Practicing strict hand hygiene Signup and view all the answers

Which symptom is associated with asthma?

Chest tightness or pressure Signup and view all the answers

What is a primary goal when using adaptive feeding techniques for individuals with cerebral palsy?

To prevent aspiration and choking Signup and view all the answers

Which alternative communication method can be encouraged for children with cerebral palsy?

Sign language and communication boards Signup and view all the answers

What is a critical nursing intervention for managing increased intracranial pressure?

Keeping the head of the bed elevated at 30 degrees Signup and view all the answers

What should a caregiver be educated about concerning seizure management?

Identifying seizure triggers and maintaining a log Signup and view all the answers

Which sign is indicative of increased intracranial pressure in infants?

Bulging fontanel Signup and view all the answers

What is one of the non-pharmacological methods that can be used for pain management in individuals with cerebral palsy?

Massaging and warm baths Signup and view all the answers

Which symptom is part of Cushing's triad associated with increased intracranial pressure?

Hypertension, bradycardia, and irregular respiration Signup and view all the answers

Why is it important to regularly assess pain and muscle tone in patients with cerebral palsy?

To adjust comfort management strategies Signup and view all the answers

Which of the following activities should be avoided to prevent an increase in ICP?

Vigorous suctioning Signup and view all the answers

What is a characteristic sign of Cushing's triad?

Irregular breathing Signup and view all the answers

What is the priority nursing intervention for a child with suspected bacterial meningitis?

Implement droplet precautions Signup and view all the answers

Which medication is commonly administered to reduce cerebral edema in increased ICP?

Mannitol Signup and view all the answers

Which symptom is NOT typically associated with meningitis in children?

Increased appetite Signup and view all the answers

What should be closely monitored in a patient receiving treatment for meningitis?

Fluid balance Signup and view all the answers

Which of the following signs indicates potential increased ICP in an infant?

Bulging fontanel Signup and view all the answers

What is a common intervention in treating precocious puberty?

Providing luteinizing hormone-releasing hormone (Lupron Depot) Signup and view all the answers

Which of the following is an effective strategy for patient education regarding ICP?

Teach parents signs of increased ICP Signup and view all the answers

Which of the following is NOT a sign of precocious puberty in girls?

Enlargement of the testes Signup and view all the answers

What should be assessed to monitor the development of a child experiencing precocious puberty?

Growth charts for height and weight Signup and view all the answers

Which of the following is a potential cause of precocious puberty?

Hormonal imbalances Signup and view all the answers

What is the main goal of maltreatment interventions for children?

Facilitate trauma-informed care and emotional support Signup and view all the answers

How should findings from maltreatment assessments be documented?

Carefully with objective language Signup and view all the answers

What approach should be taken to educate families about parenting in the context of maltreatment?

Educate on positive parenting and stress management Signup and view all the answers

When does treatment for precocious puberty typically stop?

At the appropriate age for natural puberty to begin Signup and view all the answers

Which medication is commonly prescribed to manage seizures?

Phenytoin Signup and view all the answers

What is a crucial aspect of educating caregivers about seizure management?

Identifying seizure triggers and first aid response Signup and view all the answers

Which sign is NOT typically associated with Reye's syndrome?

Fever Signup and view all the answers

What is a primary nursing intervention for a patient with suspected increased intracranial pressure (ICP)?

Elevate the head of the bed as appropriate Signup and view all the answers

What symptom progression is commonly seen in severe cases of Reye's syndrome?

Seizures, confusion, and coma Signup and view all the answers

Which of the following is essential in the management of fluid and electrolyte balance for patients with Reye's syndrome?

Monitoring for fluid overload or dehydration Signup and view all the answers

What effect should lactulose therapy primarily aim to achieve in patients with Reye's syndrome?

Decrease blood ammonia levels Signup and view all the answers

Which of the following is a recommended practice to support a patient with Reye's syndrome?

Promoting a calm and restful environment Signup and view all the answers

Study Notes

Oxygen-induced Carbon Dioxide Narcosis

Occurs when too much oxygen causes someone with chronic lung disease to stop breathing.
Leads to dangerous buildup of carbon dioxide in the blood.

Oxygen Therapy

High-flow oxygen is the most invasive.
Binasal cannula is more invasive than mask.
Blow-by is the least invasive.

Pulse Ox (Monitoring Oxygen Therapy)

Placed on big toe or around the foot.
Readings do not exceed 100%.
Synchronized with heartbeat.

End-Tidal Carbon Dioxide Monitoring

Measures exhaled carbon dioxide non-invasively.
Normal range is 30-43.
Used in asthma patients, intubation, etc., to assess CO2 levels.

Postural Drainage & Chest Physical Therapy

Moves mucus.
Encourages coughing or forceful huffs.
Performed before meals or 1-1.5 hours after.

Suctioning

One nurse holds baby's head, the other inserts saline and lightly suctions.
Done before feeding and bedtime.

Respiratory Deterioration Signs

Stridor
Grunting
Nasal flaring
Increased use of accessory muscles.

Normal Temperature

98.6°F (37°C).
Fever starts at 100.4°F (38°C).

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Description

This quiz covers essential aspects of respiratory care, including oxygen-induced carbon dioxide narcosis, oxygen therapy techniques, and monitoring strategies. It also explores postural drainage methods and signs of respiratory deterioration, vital for healthcare professionals. Get ready to test your knowledge on these critical topics in respiratory health.