Pediatric Respiratory Alterations Escape Game

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FACTORY ESCAPE GAME

Answer the questions to get the clues to escape!

Use your knowledge as a nursing student to solve clues based on respiratory alterations of the pediatric population. If you correctly answer questions to retrieve clues, you will escape the factory. Good luck!

THE MISSION

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

respiratory syncitial virus (RSV)

Acute otitis media (AOM)

A 3-month old infant is seen in the clinic with the following symptoms: irritability, crying, refusal to nurse for more than 2 to 3 minutes, rhinitis, and a rectal temperature of 101.8F. The labor, delivery, and postpartum history for this term infant is unremarkable. the nurse anticipates a diagnosis of:

QUESTION 1/3

respiratory syncitial virus (RSV)

Acute otitis media (AOM)

A 3-month old infant is seen in the clinic with the following symptoms: irritability, crying, refusal to nurse for more than 2 to 3 minutes, rhinitis, and a rectal temperature of 101.8F. The labor, delivery, and postpartum history for this term infant is unremarkable. the nurse anticipates a diagnosis of:

QUESTION 2/3

Group A B-hemolytic streptococcus (GABHS) pharyngitis

Acute epiglottitis

A 5-year-old is seen in the urgent care clinic with the following history and symptoms: sudden onset of severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2F, clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on these symptoms and history, the nurse anticipates a diagnosis of:

QUESTION 3/3

Respiratory Syncytial virus (RSV)

Mycoplasma pneumoniae

The mother of an infant diagnosed with bronchiolitis asks the nurse what causes this disease. The nurse's response would be based on the knowledge of which cause of the majority of infections leading to bronchiolitis?

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

A nurse is educating the parents of a preschool child who was recently diagnosed with asthma. When reviewing the medications, the nurse should focus on which anti-inflammatory corticosteroid used to prevent an asthma attack?

cromolym sodium

levalbuterol

Budenoside

QUESTION 2/3

The nurse is educating parents on home management for RSV. Which statement by the parent indicates a need for further teaching?

"Since RSV is viral, antibiotics won’t help my baby recover faster."

"If my baby has trouble breathing, I will try a warm mist humidifier."

"I should use saline drops and a bulb syringe to clear my baby’s nose."

QUESTION 3/3

A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child would monitor for which sign, knowing that it indicates a worsening of the condition?

pulse rate of 90 beats per minute

respirations of 18 breaths per minute

decreased wheezing

the base

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QUESTION 1/3

The parent of an 8-year-old child being treated for right lower lobe pneumonia at home calls the clinic nurse. the parent tells the nurse that the child complains of discomfort on the right side and that ibuprofen is ineffective. Which instruction would the nurse provide to the parent?

Increase the dose of ibuprofen

Encourage the child to lie on the left side

Encourage the child to lie on the right side

QUESTION 2/3

The clinic nurse is providing instructions to the parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement would the nurse make to the parent?

"The child will receive the recommended basic series of immunizations along with a yearly influenza vaccine"

"The child will receive all of the immunizations except for the polio series"

"The child should not receive any hepatits vaccines"

QUESTION 3/3

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The parent becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action?

Tell the parent that the child must stay in the tent

Let the parent hold the child and direct the cool mist over the child's face.

place a toy in the tent to make the child feel more comfortable

the base

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QUESTION 1/3

The nurse is caring for an infant with bronchiolitis and diagnostic tests confirmed RSV. Based on this finding, which is the most appropriate nursing action?

Move the infant to a private room

Inform the staff that using standard precautions is all that is necessary when caring for this child

leave the infant in the present room because RSV is not contagious

initiate strict enteric precautions

QUESTION 2/3

The mother of an infant who has had recurrent respiratory infections asks the nurse why infants are at an increased risk for complications from respiratory infections. Which information should the nurse include when formulating a response?

Airway structures are larger, allowing for the entry of larger number of organisms

Respiratory rates are slower than adults

Parents are unable to accurately assess respiratory problems

Airways are narrower and more easily obstructed

QUESTION 3/3

A school-aged client is brought to the emergency department for an acute asthma attack. He is wheezing, tachypneic, diaphoretic, and looks frightened. The nurse should prepare which medication?

Cromolym sodium

Oral prednisone

Albuterol

IV methylprednisolone

the base

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QUESTION 1/3

A pre-school client with bacterial pneumonia is crying and says it hurts when he coughs. Which instruction should the nurse give to the child?

Try very hard not to cough

take a sip of water before coughing

Ask for pain medicine before he coughs

Hug his teddy bear when he coughs

QUESTION 2/3

A nurse is teaching a school-aged child with cystic fibrosis how to perform airway clearance techniques. Which method is most effective?

Taking a mucolytic after performing airway clearance techniques

Performing postural drainage before administering bronchodilators

Administering bronchodilators before chest physiotherapy

Using a bronchodilator after chest physiotherapy

QUESTION 3/3

A toddler is being discharged after bronchoscopy for removal of a coin from his esophagus. Which statement is the MOST important topic of discharge teaching?

Administering acetaminophen for his sore throat

Restricting access to small toys or objects

Proper nutrition for the next few days

Reassuring the child that he is fine

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