Download case study resp 12-16

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.
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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?____