TEST BANK PEDIATRIC NURSING, A CASE- BASED APPROACH, 1ST EDITION BY TAGHER KNAPP

Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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TEST BANK

PEDIATRIC NURSING, A CASE- BASED APPROACH, 1ST EDITION
BY TAGHER KNAPP

, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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Chapter 1: Bronchiolitis cd cd




1. Which intervention is appropriate for the infant hospitalized with br
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onchiolitis?



a. Position on the side with neck slightly flexed. cd cd cd cd cd cd cd




b. Administer antibiotics as ordered. cd cd cd




c. Restrict oral and parenteral fluids if tachypneic. cd cd cd cd cd cd




d. Give cool, humidified oxygen. ANS: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid
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loss from
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tachypnea. The infant should be positioned with the head and chest elevated at a 3
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0- to 40-
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degree angle and the neck slightly extended to maintain an open airway and decre
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ase pressure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are
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given only if there is a secondary bacterial infection.
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Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are givenpare
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nterally to prevent dehydration. cd cd cd




2. An infant with bronchiolitis is hospitalized. The causative organism is respi
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ratory syncytial virus(RSV). The nurse knows that a child infected with this virus re
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quires what type of isolation? cd cd cd cd




a. Reverse isolation cd

, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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b. Airborne isolation
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, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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c. Contact Precautions
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d. Standard Precautions ANS: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand wa
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shing,

Contact Precautions are required. Caregivers must use gloves and gowns when ent
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ering the room. Care is taken not to touch their own eyes or mucous membranes wit
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h a contaminated gloved hand. Children are placed in a private room or in a room wi
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th other children with RSV infections. Reverse isolation
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