The nurse is caring for a school-age child with ...

[wrbasek0]

The nurse is caring for a school-age child with laryngotracheobronc hitis. Which action aids in bronchodilation to improve breathing for this child?
 
  A) Administering an oral analgesic
  B) Urging the child to take oral fluids
  C) Teaching the child to take long, slow breaths
  D) Assisting with racemic epinephrine nebulizer therapy

Question 2

The nurse is planning a community program for parents that focuses on the 2020 National Health Goals to reduce of respiratory illness in children. Which information should the nurse emphasize in this presentation? (Select all that apply.)
 
  A) Adhering to recommended immunizations
  B) Engaging in age-appropriate activity daily
  C) Importance of avoiding all cigarette smoking
  D) Ensuring an adequate dietary intake of calcium products
  E) Role of good hand washing to reduce transmission of disease

[dmurph1496]

Answer to Question 1

D
Feedback:
When caring for a child with laryngotracheobronc hitis, cool moist air combined with racemic epinephrine through a nebulizer usually reduces inflammation and produces effective bronchodilation to open the airway. An oral analgesic is not necessary because the child is not experiencing throat pain. The child may not be able to take fluids orally at this time. Intravenous therapy could be indicated to maintain adequate hydration and thin respiratory secretions. The child is experiencing air hunger and will not be able to take long slow breaths.

Answer to Question 2

A, C, E
Feedback:
Nurses can help the nation achieve the 2020 National Health Goals to reduce respiratory illness in children by teaching children to avoid cigarette smoking, ways to help avoid respiratory infections such as good hand washing, and reminding parents to come for child health maintenance visits so that children can receive pneumococcal immunization or screening for tuberculosis, as appropriate. Activity and nutrition are not identified as interventions to reduce the risk of respiratory illness in children.