Pediatric Respiratory Alterations Escape Game

Answer the questions to get the clues to escape!

FACTORYESCAPE GAME

start

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

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:

Acute otitis media (AOM)

respiratory syncitial virus (RSV)

QUESTION 1/3

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 2/3

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?

Mycoplasma pneumoniae

Respiratory Syncytial virus (RSV)

QUESTION 3/3

THE base

Find the clue you need to keep moving forward

Budenoside

levalbuterol

cromolym sodium

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?

QUESTION 1/3

A toddler with aplastic anemia

A preschooler with impetigo

a toddler with neuroblastoma undergoing chemotherapy

An infant is being admitted to the pediatric unit with respiratory syncytial virus infection at change of shift. The charge nurse could appropriately assign which other child to the nurse who will be admitting this infant?

QUESTION 2/3

decreased wheezing

respirations of 18 breaths per minute

pulse rate of 90 beats per minute

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?

QUESTION 3/3

the base

Find the clue you need to keep moving forward

Encourage the child to lie on the left side

Encourage the child to lie on the right side

Increase the dose of ibuprofen

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?

QUESTION 1/3

"The child should not receive any hepatits vaccines"

"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"

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?

QUESTION 2/3

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

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

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?

QUESTION 3/3

the base

Find the clue you need to keep moving forward

initiate strict enteric precautions

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

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

Move the infant to a private room

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?

QUESTION 1/3

Airways are narrower and more easily obstructed

Parents are unable to accurately assess respiratory problems

Respiratory rates are slower than adults

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

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?

QUESTION 2/3

IV methylprednisolone

Albuterol

Oral prednisone

Cromolym sodium

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?

QUESTION 3/3

the base

Find the clue you need to keep moving forward

Hug his teddy bear when he coughs

Ask for pain medicine before he coughs

take a sip of water before coughing

Try very hard not to cough

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?

QUESTION 1/3

"I will call my pediatrician if she gets a fever or has more secretions than usual from her tracheostomy"

"We are so glad the baby will get to go with us on our camping trip. We have been waiting for her to get well so we can go"

"I have a cute bib to loosely cover her tracheostomy when she eats and when we go outside in the wind"

"We have notified our power company that our baby is coming home today"

An infant with bronchopulmonary dysplasia (BPD) and a tracheostomy is being discharged on home oxygen therapy. Which statement by the mother indicates that further teaching is needed before discharge.

QUESTION 2/3

Reassuring the child that he is fine

Proper nutrition for the next few days

Restricting access to small toys or objects

Administering acetaminophen for his sore throat

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?

QUESTION 3/3

Mission Complete

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