PNV 1728 – SPECIALTY AREAS IN NURSING
NURSING CARE OF CHILDREN
UNIT II – RESPIRATORY AND RELATED DISORDERS
REQUIRED READING
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Foundations and Adult Health Nursing, 7th Edition, Cooper & Gosnell,
Mosby/Elsevier.
Chapter 31
Study Guide for Foundations and Adult Health Nursing, 7th Edition,
Cooper & Gosnell, Mosby/Elsevier.
None
HESI PN Case Studies, Evolve/Elsevier
PN Cystic Fibrosis – Due July 10th by 2:50 p.m.
PN Sickle Cell Disease – Due July 10th by 2:50 p.m.
Taber’s Cyclopedic Medical Dictionary, 22nd Edition, F. A. Davis
Davis's Drug Guide for Nurses, 15th Edition, F. A. Davis
ADDITIONAL PRACTICE
For additional NCLEX style questions, go to the computer lab and select the PN-3000*
icon, go to Nursing Topics, Review Mode and select Pediatric Nursing. Review
questions are also available within your textbook and Evolve resources (Horntvedt
Textbook: Chapter 18 – Dosage Calculations (Pediatrics); Watkins Textbook:
Appendix D, E, & F; Elsevier Adaptive Quizzing for the NCLEX-PN® Exam:
PEDS Modules (6); HESI PN Case Studies with Practice Test: HESI PN Practice
Test – Pediatrics Practice Exam & Quiz).
*PN-3000 may also be found by using a search engine online.
OBJECTIVES:
1. Discuss the condition of sudden infant death syndrome, and list at least four
predisposing factors.
2. Identify nursing and family considerations concerning respiratory diseases.
3. Identify four nursing considerations for the infant with an alteration in respiratory
function.
4. Discuss the nursing process regarding the care of a child with Reye’s syndrome.
5. List three types of failure to thrive and discuss the appropriate nursing care.
6. Recall basic nursing skills to adapt to the pediatric client.
7. Describe the signs and symptoms, diagnostic tests, treatment, and nursing care for the
pediatric client with respiratory conditions and related diseases.
GUIDE FOR STUDY AND DISCUSSION:
1.
Define Cystic Fibrosis (CF).
2. List three commonly used lab tests to detect Cystic Fibrosis.
3. What is the principal diagnostic test to confirm Cystic Fibrosis?
4. Describe the dietary treatment which would be appropriate for a child with C.F.
5. List nursing interventions for the child with Cystic Fibrosis in regard to:
 encouraging to eat
 prevention of infection
6. Which type of complications pose the greatest threat to children with CF?
7. How is the respiratory tract affected by Cystic Fibrosis, and what is the treatment for
the effects?
8. Define SIDS.
9. List risk factors associated with SIDS.
10. At what age does SIDS often occur most frequently?
11. Discuss the importance of positioning in decreasing the risk of SIDS.
12. Develop a mini teaching plan for the family of an infant considered at high risk for
SIDS.
13. What is another name for croup?
14. What is spasmodic croup characterized by, and what age group is it frequently seen
in?
15. Describe the cough of a child with croup.
16. Define the term stridor.
17. What two ways is croup classified?
18. Discuss medical and nursing management of the above condition.
19. Define epiglottitis. What is the cause?
20. Describe the appearance of the epiglottis in epiglottitis.
21. Why is a throat culture not done to detect epiglottitis?
22. What treatment is given in order to reduce the risk of epiglottitis?
23. What is the highest nursing priority in caring for a patient with epiglottitis?
24. What is Bronchiolitis characterized by and what age is it most commonly seen?
25. Describe the child experiencing failure to thrive.
26. List three types of failure to thrive and give the characteristics of each briefly.
27. Discuss the nurses and family’s role in caring for the child with failure to thrive.
28. Respiratory distress syndrome is caused by an insufficient production of
___________.
29. What may put a neonate at risk for respiratory distress syndrome?
30. Define the term hypoxia.
31. Define hypoxemia.
Chapter 31, p. 940 – for 32 to 34.
32. List the normal respiratory rate and breathing pattern for the infant. **MUST KNOW
33. List the normal respiratory rate and pattern for the toddler. *********MUST KNOW
34. List the normal respiratory rate and pattern for the school-age child. * MUST KNOW
35. What are the symptoms of RDS? Discuss the nursing process of caring for an infant
with respiratory distress syndrome.
 Assessment (include what age is most likely to have RDS)
 Nursing Dx.
 Goals
 Implementation
36. Reye’s syndrome usually follows what type of illness?
37. What medication has been linked to a probable cause of Reye’s Syndrome?
38. Discuss the manifestations of Reye’s Syndrome.
39. What diagnostic test establishes a definitive diagnosis of Reye’s syndrome?
40. What nursing intervention takes high priority when caring for a child with Reye’s
Syndrome?
41. What is the primary cause of cerebral manifestations in Reye’s syndrome?
42. What are the symptoms of cerebral edema and increased intracranial pressure?
43. What teaching may be done in order to prevent Reye’s syndrome?
44. RSV is primarily responsible for what two other respiratory conditions in infants and
young children?
45. What precautions should be taken with the administration of ribavirin (Virazole)?
46. Discuss nursing care of a child after a tonsillectomy and adenoidectomy.