1. Name_____________________________
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

2. 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

3. Nursing care/treatment of epiglottitis includes the following: (include rationales (R) from text.)
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

4. Acute laryngotracheobronchitis. (Give answers/ rationales.)
Causative agents include/R
2. Age most often LTB seen /R
3. Symptoms include low grade fever/R
Inspiratory stridor, retractions, dyspnea/R
5. The child presents with a barky seal like cough/R

5. Nursing care for Laryngeal tracheal bronchitis includes the following: (Rationale from text book):)
Provide humidify/R
Monitor pulse oximetry/R
Nebulized racemic epinephrine/R
Increase oral and IV fluids/R
Administer corticosteroids:
prednisone oral/R
IM dexamethasone/R
nebulized (budesonide)/R

6. 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.)
Discourage nose blowing/R
Administer analgesics on a schedule/R
No orange juice or red kool aide/R
Position the child semi fowlers or side/R
Report frequent swallowing and clearing of the throat to the doctor/R

7. A nurse is teaching a patient about asthma medications What should the nurse teach about each med? Include: Preventive or recue? 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)

8. The nurse should teach the following to a child and parent with asthma using an inhaler: (Read text, list steps with rationales)

9. Following are True about Cystic Fibrosis and give rationales from text book.
Sweat Chloride test confirms diagnosis
Provide a high calorie, high protein diet
Administer pancreatic enzymes with meals and snacks.
Promote and increase in fluids
Encourage physical activity.

10. 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)

11. EYES
Define the following terms:
Strabismus________________________________________________
Amblyopia_______________________________________________
Which eye do you patch or give eye drops to dilate and block vision for amblyopia?
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?____

12. Epiglottitis/ Cystic Fibrosis
***You need to review posted lecture on this topic for the class room will be flipped and a volunteer or voluntolder will present I will assist you!