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Resp Prep Questions and lecture assistants for 2 pts. in class • Lecture assistants for 2pts: • B Adams/S Bishop: Britt: epiglottis etiology, nursing care Sarah: treatment epiglottis • D Brown/C Burkholder: Danielle: CF s/s, diagnosis Christine: medical management CF • S. Burns/ Hannah Close: Sarah: Asthma Etiology/prevalence Hannah: treatment-rescue vs. preventive meds • B Claridge/J Clark: Brittney: Otitis media etiology, diagnosis Jessica: cleft lip/palate diagnosis treatment. Name________________________ * 2pts for turning in prep questions in class. If assigned lecture assistant that counts as 2 pts. • • • • Respiratory Class Preparation Questions Give rationales from text book Think why Expect to be called on to participate as respiratory lecture covers these topics. • Review canvas posted lecture for last lecture topics for you may be asked to present • Due in class for two points The following are true about bacterial epiglottitis: (give rationales from text book not ATI.) 1. Dysphonia, dysphagia, drooling, distress are frequently symptoms of epiglottis/R 2. Sore throat/ R 3. Temperature/ R 4. Caused by haemophilus influenza and other bacteria/R 5. Incidence decreased since a certain vaccine/R Nursing care/treatment of epiglottitis includes the following: (include rationales (R) from text.) 1. Give: racemic epinephrine R Corticosteroids/R, IV fluids as ordered/R 2. Do NOT get throat culture for diagnosis/R 3. Prepare for intubation/R 4. Keep upright not flat in bed/R 5. Administer antibiotics ( ceftriaxone sodium or cephalosporin) starting with IV transistion to oral for 10 days/R Acute laryngotracheobronchitis. (Give answers/ rationales.) 1. Causative agents include/R 2. Age most often LTB seen /R 3. Symptoms include low grade fever/R 4. Inspiratory stridor, retractions, dyspnea/R 5. The child presents with a barky seal like cough/R Nursing care for Laryngeal tracheal bronchitis includes the following: (Rationale from text book):) 1. Provide humidify/R 2. Monitor pulse oximetry/R 3. Nebulized racemic epinephrine/R 4. Increase oral and IV fluids/R 5. Administer corticosteroids: prednisone oral/R IM dexamethasone/R nebulized (budesonide)/R A nurse is caring for a child in the post operative period following a tonsillectomy. The nurse should do the following: (Include text book rationales.) 1. Discourage nose blowing/R 2. Administer analgesics on a schedule/R 3. No orange juice or red kool aide/R 4. Position the child semi fowlers or side/R 5. Report frequent swallowing and clearing of the throat to the doctor/R A nurse is teaching a patient about asthma medications What should the nurse teach about each med? Include: Preventive or rescue? Which med should be taken before exercise? Adm when? How? Read text 1. Monteluckast (Singulair) 2. Prednisone (Deltasone) 3. Fluticasone/salmeterol (Advair) 4. Albuterol ( Proventil, Ventolin) The nurse should teach the following to a child and parent with asthma using an inhaler: (Read text, list steps with rationales) 1. 2. 3. 4. 5. 6. Following are True about Cystic Fibrosis and give rationales from text book. 1. Sweat Chloride test confirms diagnosis/R 2. Provide a high calorie, high protein diet/R 3. Administer pancreatic enzymes with meals and snacks/R 4. Promote and increase in fluids/R 5. Encourage physical activity/R Review ati book P 485-486 on poisons What are overdose symptoms and Interventions? • Acetylsalicylic Acid: Anecdote is phytona dione (Vit K), Activated Charcoal • Acetaminophen: • Hydrocarbons: (gasoline, kerosene, paint thinner, turpentine) • Corrosives: (household cleaners, batteries, denture cleaners, bleach) EYES Define the following terms: Strabismus________________________________________________ Amblyopia_______________________________________________ Which eye do you patch or give eye drops to dilate and block vision for amblyop Describe Newborn vision? What age does a child achieve normal vision? How would you explain 20/50 vision to a parent? EARS What could low set ears and pre auricular tags indicate? How is the infant/toddlers Eustachian tube positioned in comparison to the adult? How do you administer ear drops to a child under 3 years? NOSE/MOUTH How could you examine the sinuses and nares in an infant/toddler?__________ How should the nurse examine an infant’s mouth and oral cavity?___________ When does an infant’s first tooth usually erupt? _________________________ Number normal primary teeth by what age?____