1. Suppose Michael is diagnosed as having a streptococcalpharyngitis. The chief danger of such an infection is:
a. Lymph nodes will swell and obstruct the airway.
b. Infection may spread and cause a tooth abscess.
c. A small number of children develop kidney disease.
d. Four of five children will develop lung abscesses
Rationale:
2. Suppose Michael’s 4-year-old roommate spits up dark-red bloodfollowing her tonsillectomy. Your best action in relation to thiswould be:
a. Suction the back of her throat.
b. Encourage her to cough vigorously.
c. Perform a subdiaphragmatic thrust.
d. Continue to observe her for bleeding Rationale:
3. Michael has a barking cough, sore throat, and high fever. Youwant to see if his throat looks sore. Your best procedure to dothis would be:
a. Gag him with a tongue blade to inspect his tonsils.
b. Ask him to press down on his tongue with a finger.
c. Elicit a gag reflex using only one gloved finger.
d. Inspect his throat visually only
Rationale:
4. What if Michael is the 4-year-old you met at the beginning ofthe chapter was brought by his grandmother to the emergency roombecause he developed high fever, nasal flaring, retractions, chestpain, chills, and dyspnea. Tachypnea and tachycardia was alsoobserved.
a. What other possible signs and symptoms you can find duringphysical assessment? Ans:
b. What laboratory tests performed to Michael? What are thepossible results if the provisional diagnosis is pneumonia.Ans:
c. What are the appropriate therapeutic nursing interventionsfor Michael? Please include collaborative & independent nursingactions? Ans:
5. Suppose if Michael was diagnosed with Asthma since he was 3years old. One time he was exposed to dust and pollens whileplaying with neighborhood friends along the street. He was broughtto the clinic for consultation?
a. What are the evident findings during physical assessment?Ans:
b. What are the types of medications & other therapeuticmanagement possibly given to Michael? Ans:
c. What are the health teachings to the family with a child withasthma? Ans:
