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Medical-Surgical Practice Quiz P2
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PQ-200T: Respiratory P
Data Collection Finding Acute viral nasopharyngitis Acute epiglottitis Acute laryngotracheobronchiti s body Retractions Oral secretions Body temperature
My Answer Body temperature is consistent with acute viral nasopharyngitis, acute epiglottitis, and acute laryngotracheobronchitis. The child has a temperature of 38.3° C (101° F), which is consistent with all three disease processes. A fever is common for children who have acute viral nasopharyngitis. Older children typically have a lower grade temperature than younger children. Children who have acute epiglottitis have a high fever and can appear more ill than clinical manifestations suggest. Children who have acute laryngotracheobronchitis typically have a low-grade fever that has a gradual onset. Child's appearance is consistent with acute epiglottitis. The child suddenly appears very ill and does not respond to questions. The sudden respiratory obstruction rapidly leads to low oxygen and increased carbon dioxide levels in the blood stream, resulting in acidosis. Children who have acute viral nasopharyngitis or acute laryngotracheobronchitis do not appear severely ill. Oral secretions are consistent with acute epiglottitis. The child is sitting up and leaning forward with mouth open and drooling. These are typical manifestations of acute epiglottitis, not acute viral nasopharyngitis or acute laryngotracheobronchitis. Retractions are consistent with acute epiglottitis and acute laryngotracheobronchitis. The child has suprasternal retractions, which is a manifestation of acute epiglottitis and acute laryngotracheobronchitis. Suprasternal retractions occur when narrowing of the airways increase the work of breathing and accessory muscles. Positioning of body is consistent with acute epiglottitis. The child is sitting up and leaning forward in the tripod position. This position is consistent with acute epiglottitis and assists to facilitate breathing. The tripod position is not consistent with acute viral nasopharyngitis or acute laryngotracheobronchitis. Reported pain is consistent with acute epiglottitis. The child's throat is sore and red with an inflamed epiglottis. These are common manifestations of acute epiglottitis. Children who have
B. Chronic pain C. Neuropathic pain D. Acute pain Correct Answer: A. Cancer pain. Cancer pain is caused by a tumor or as a result of a cancer treatment such as radiation therapy, surgical removal, chemotherapy, or infection.
D. This test is performed over one week. Correct Answer: C. This test measures body movements during sleep. Polysomnography measures body movements, brain activity, heart rate, snoring activity, and blood pressure to diagnose sleep disorders.