The pediatric nurse is observing a student nurse teach a child ...

[mrsjacobs44]

The pediatric nurse is observing a student nurse teach a child how to use a peak flow meter. Which instruction by the student requires intervention by the pediatric nurse?
 
  A.
  Exhale for as long as you can to empty your lungs.
  B.
  Keep your tongue away from the mouthpiece.
  C.
  Stand up straight and tall when using the meter.
  D.
  Write down the highest of the three readings.

Question 2

A nurse is using the CUPS method of assessing a child's respiratory status and documents the following: open airway containing secretions, increased respiratory rate and effort, wheezing, mucous membranes pale pink in color, and fever.
 
  Based on this system, which is the appropriate rating for this child?
  A.
  Critical
  B.
  Potentially unstable
  C.
  Stable
  D.
  Unstable

[dreamfighter72]

Answer to Question 1

ANS: A
The proper way to use the peak flow meter is to blow hard and fast when exhaling. The nurse should intervene when the student states otherwise. The other instructions are correct.

Answer to Question 2

ANS: D
According to this scale, the child has four determinants of unstable status (increased breathing rate, increased breathing effort, wheezing, and pale pink mucous membranes). An open airway with secretions and presence of fever both characterize the potentially unstable category. The nurse would classify this child as unstable.