Page 1049 - Saunders Comprehensive Review For NCLEX-RN

FIG. 35-4 Mechanisms of airway obstruction by a foreign body (FB).

Box 35-8
Tuberculin Skin Test or Mantoux Test

Interpretation

▪ Induration measuring 15 mm or more is considered to be a positive reaction in
children 4 years or older who do not have any risk factors.

▪ Induration measuring 10 mm or more is considered to be a positive reaction in
children younger than 4 years and in children with chronic illness or at high risk
for exposure to tuberculosis.
▪ Induration measuring 5 mm or more is considered to be positive for the highest-
risk groups, such as children with immunosuppressive conditions or human
immunodeficiency virus (HIV) infection.

Practice Questions

352. A 10-year-old child with asthma is treated for acute exacerbation in the
emergency department. The nurse caring for the child should monitor for
which sign, knowing that it indicates a worsening of the condition?
1. Warm, dry skin
2. Decreased wheezing
3. Pulse rate of 90 beats per minute
4. Respirations of 18 breaths per minute
353. The mother of an 8-year-old child being treated for right lower lobe
pneumonia at home calls the clinic nurse. The mother tells the nurse that the
child complains of discomfort on the right side and that ibuprofen is not
effective. Which instruction should the nurse provide to the mother?
1. Increase the dose of ibuprofen.
2. Increase the frequency of ibuprofen.

1049