9nApproach
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric 9nNursing- 9nA 9nCase-Based
9nApproach
, Pediatric 9nNursing- 9nA 9nCase-Based
9nApproach
Chapter 9n1: 9 n Bronchiolitis
1. Which 9nintervention 9nis 9nappropriate 9nfor 9nthe 9ninfant 9nhospitalized 9nwith 9nbronchiolitis?
a. Position 9non 9nthe 9nside 9nwith 9nneck 9nslightly 9nflexed.
b. Administer 9nantibiotics 9nas 9nordered.
c. Restrict 9noral 9nand 9nparenteral 9nfluids 9nif 9ntachypneic.
d. Give 9ncool, 9nhumidified
9noxygen. 9nANSWER: 9nD
Cool, 9nhumidified 9noxygen 9nis 9ngiven 9nto 9nrelieve 9ndyspnea, 9nhypoxemia, 9nand 9ninsensible 9nfluid
9nloss 9nfrom 9ntachypnea. 9nThe 9ninfant 9nshould 9nbe 9npositioned 9nwith 9nthe 9nhead 9nand 9nchest
9nelevated 9nat 9na 9n30- 9nto 9n40-degree 9nangle 9nand 9nthe 9nneck 9nslightly 9nextended 9nto 9nmaintain 9nan
9nopen 9nairway 9nand 9ndecrease 9npressure 9non 9nthe 9ndiaphragm. 9nThe 9netiology 9nof 9nbronchiolitis
9nis 9nviral. 9nAntibiotics 9nare 9ngiven 9nonly 9nif 9nthere 9nis 9na 9nsecondary 9nbacterial 9ninfection.
9nTachypnea 9nincreases 9ninsensible 9nfluid 9nloss. 9nIf 9nthe 9ninfant 9nis 9ntachypneic, 9nfluids 9nare
9ngiven 9nparenterally 9nto 9nprevent 9ndehydration.
2. An 9ninfant 9nwith 9nbronchiolitis 9nis 9nhospitalized. 9nThe 9ncausative 9norganism 9nis 9nrespiratory
9nsyncytial 9nvirus 9n(RSV). 9nThe 9nnurse 9nknows 9nthat 9na 9nchild 9ninfected 9nwith 9nthis 9nvirus
9nrequires 9nwhat 9ntype 9nof 9nisolation?
a. Reverse 9nisolation
b. Airborne 9nisolation
c. Contact 9nPrecautions
d. Standard
9nPrecautions 9nANSWER: 9nC
RSV 9nis 9ntransmitted 9nthrough 9ndroplets. 9nIn 9naddition 9nto 9nStandard 9nPrecautions 9nand 9nhand
9nwashing, 9nContact 9nPrecautions 9nare 9nrequired. 9nCaregivers 9nmust 9nuse 9ngloves 9nand 9ngowns
9nwhen 9nentering 9nthe 9nroom. 9nCare 9nis 9ntaken 9nnot 9nto 9ntouch 9ntheir 9nown 9neyes 9nor 9nmucous
9nmembranes 9nwith 9na 9ncontaminated 9ngloved 9nhand. 9nChildren 9nare 9nplaced 9nin 9na 9nprivate 9nroom
9nor 9nin 9na 9nroom 9nwith 9nother 9nchildren 9nwith 9nRSV 9ninfections. 9nReverse 9nisolation 9nfocuses 9non
9nkeeping 9nbacteria 9naway 9nfrom 9nthe 9ninfant. 9nWith 9nRSV, 9nother 9nchildren 9nneed 9nto 9nbe
9nprotected 9nfrom 9nexposure 9nto 9nthe 9nvirus. 9nThe 9nvirus 9nis 9nnot 9nairborne.
3. A 9nchild 9nhas 9na 9nchronic 9ncough 9nand 9ndiffuse 9nwheezing 9nduring 9nthe 9nexpiratory 9nphase 9nof
9nrespiration. 9nThis 9nsuggests 9nwhat 9ncondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign 9nbody 9nin
9ntrachea 9nANSWER: 9nA
, Pediatric 9nNursing- 9nA 9nCase-Based
Asthma 9nmay 9nhave 9nthese 9n9nchronic 9nsigns 9nand 9nsymptoms. 9nPneumonia 9nappears 9nwith 9nan 9nacute
Approach
9nonset, 9nfever, 9nand 9ngeneral 9nmalaise. 9nBronchiolitis 9nis 9nan 9nacute 9ncondition 9ncaused 9nby
9nrespiratory 9nsyncytial