Pediatric Respiratory Alterations Escape Game

FACTORY ESCAPE GAME

start

Answer the questions to get the clues to escape!

THE MISSION

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 base

Find the clue you need to keep moving forward

QUESTION 1/3

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:

respiratory syncitial virus (RSV)

QUESTION 2/3

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:

Acute epiglottitis

Group A B-hemolytic streptococcus (GABHS) pharyngitis

QUESTION 3/3

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?

Respiratory Syncytial virus (RSV)

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

Budenoside

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?

levalbuterol

cromolym sodium

QUESTION 2/3

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

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

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

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

QUESTION 3/3

decreased wheezing

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?

respirations of 18 breaths per minute

pulse rate of 90 beats per minute

the base

Find the clue you need to keep moving forward

QUESTION 1/3

Mild retractions

Which physical finding would be of most concern in an infant with respiratory distress?

Tachypnea

Grunting

QUESTION 2/3

"The child should not receive any hepatits vaccines"

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 all of the immunizations except for the polio series"

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

QUESTION 3/3

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

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?

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

Tell the parent that the child must stay in the tent

the base

Find the clue you need to keep moving forward

QUESTION 1/3

initiate strict enteric precautions

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

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?

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

Move the infant to a private room

QUESTION 2/3

Airways are narrower and more easily obstructed

Parents are unable to accurately assess respiratory problems

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?

Respiratory rates are slower than adults

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

QUESTION 3/3

IV methylprednisolone

Albuterol

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?

Oral prednisone

Cromolym sodium

the base

Find the clue you need to keep moving forward

QUESTION 1/3

Hug his teddy bear when he coughs

Ask for pain medicine before he coughs

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?

take a sip of water before coughing

Try very hard not to cough

Using a bronchodilator after chest physiotherapy

QUESTION 2/3

Administering bronchodilators before chest physiotherapy

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

Performing postural drainage before administering bronchodilators

Taking a mucolytic after performing airway clearance techniques

QUESTION 3/3

The child exhibits nasal flaring and bradycardia

The child is leaning forward, with the chin thrust out

The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse would monitor for which indication that the child may be experiencing airway obstruction?

The child has a low-grade fever and complains of a sore throat

The child is leaning backward, supporting self with the hands and arms

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