Author Question: Nursing assessment of the child's respiratory system must be done quickly because of which of the ... (Read 81 times)

joblessjake · **on:** Jun 28, 2018

Nursing assessment of the child's respiratory system must be done quickly because of which of the following?

1. The child is more vulnerable to allergic reactions.
2. The child is more prone to aspiration.
3. Airways are less reactive than those of an adult.
4. Airways are less prone to obstruction in the child.
5. Airways are smaller, with resulting resistance as air moves through the airway.

Question 2

The nurse is preparing to administer a blood transfusion to a child with a severe anemia. Which type of transfusion reaction may be within the nurse's realm of prevention?

1. Allergic
2. Hemolytic
3. Febrile
4. Septic

Jossy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1, 2, 5
Rationale:
1. The child is more vulnerable to allergic reactions because the airways are smaller and more easily obstructed when inflamed or blocked with the mucus produced from an allergic reaction.
2. The child is more prone to aspiration because the larynx and glottis are higher in the neck.
3. Airways are more reactive than those of an adult due to size and ability to obstruct.
4. Airways are more prone to obstruction because they are smaller and more easily occluded with infection.
5. Airways are smaller and resistance is greater in the child.

Answer to Question 2

2
Rationale 1: Allergic reactions are due to a protein in the donated blood to which the child reacts. The nurse cannot prevent this type of reaction.
Rationale 2: A hemolytic reaction results from mismatched blood, a preventable error. This error is most likely to occur at the bedside if the nurse does not carefully identify the unit of blood and the patient.
Rationale 3: A febrile reaction is related to contamination of blood. The nurse has no control over this type of reaction.
Rationale 4: Septic is another name for a febrile reaction and is not preventable by the nurse.
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