Pediatric Nursing- A Case-Based Approach
x1 x1 x1 x1
TEST BANK
x1 x 1
Pediatric Nursing- A Case-
x1 x1 x1
Based Approach 2nd Edition by Tagher
x1 x1x1 x1 x1 x1 x1
Knapp
,Pediatric Nursing- A Case-Based Approach
x1 x1 x1 x1
, Pediatric Nursing- A Case-Based Approach x1 x1 x1 x1
Chapter 1: Bronchiolitis x1 x 1
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Position on the side with neck slightly flexed. x1 x1 x1 x1 x1 x1 x1
b. Administer antibiotics as ordered. x1 x1 x1
c. Restrict oral and parenteral fluids if tachypneic.
x1 x1 x1 x1 x1 x1
d. Give cool, humidified oxygen. x1 x1 x1
ANSWER: D
x1 x1
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss fro
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
m tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
degree angle and the neck slightly extended to maintain an open airway and decrease pressur
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tac
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hypneic, fluids are given parenterally to prevent dehydration.
x1 x1 x1 x1 x1 x1 x1
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytia
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
l virus (RSV). The nurse knows that a child infected with this virus requires what type of
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1isolation?
a. Reverse isolation x1
b. Airborne isolation x1
c. Contact Precautions x1
d. Standard Precautions x1 x
ANSWER: C
1 x1
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Contact Precautions are required. Caregivers must use gloves and gowns when entering the ro
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
om. Care is taken not to touch their own eyes or mucous membranes with a contaminated glo
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ved hand. Children are placed in a private room or in a room with other children with RSV i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nfections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
children need to be protected from exposure to the virus. The virus is not airborne.
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiratio
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n. This suggests what condition?
x1 x1 x1 x1
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea x1 x1 x1
ANSWER: A
x1 x1
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, f
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
, Pediatric Nursing- A Case-Based Approach x1 x1 x1 x1
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe str
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
idor.
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
o respiratory syncytial virus (RSV)?
x1 x1 x1 x1
a. Activity Intolerance x1
b. Decreased Cardiac Output x1 x1
c. Pain, Acute x1
d. Tissue Perfusion, Ineffective (peripheral
x1 x1 x1
) ANS. A
x1 x1
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1by this respiratory-disease process.
x1 x1 x1
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1by this respiratory-disease process.
x1 x1 x1
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen suppl
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
y and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pai
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affect
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed by this respiratory-disease process.
x1 x1 x1 x1
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1by this respiratory-disease process.
x1 x1 x1
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not aff
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ected by this respiratory-disease process.
x1 x1 x1 x1
Chapter 2: Asthma x1 x1
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment findin
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
g suggests that the childs condition is worsening?
x1 x1 x1 x1 x1 x1 x1
a. Hypoventilation
b. Thirst
c. Bradycardia
x1 x1 x1 x1
TEST BANK
x1 x 1
Pediatric Nursing- A Case-
x1 x1 x1
Based Approach 2nd Edition by Tagher
x1 x1x1 x1 x1 x1 x1
Knapp
,Pediatric Nursing- A Case-Based Approach
x1 x1 x1 x1
, Pediatric Nursing- A Case-Based Approach x1 x1 x1 x1
Chapter 1: Bronchiolitis x1 x 1
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Position on the side with neck slightly flexed. x1 x1 x1 x1 x1 x1 x1
b. Administer antibiotics as ordered. x1 x1 x1
c. Restrict oral and parenteral fluids if tachypneic.
x1 x1 x1 x1 x1 x1
d. Give cool, humidified oxygen. x1 x1 x1
ANSWER: D
x1 x1
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss fro
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
m tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
degree angle and the neck slightly extended to maintain an open airway and decrease pressur
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tac
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hypneic, fluids are given parenterally to prevent dehydration.
x1 x1 x1 x1 x1 x1 x1
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytia
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
l virus (RSV). The nurse knows that a child infected with this virus requires what type of
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1isolation?
a. Reverse isolation x1
b. Airborne isolation x1
c. Contact Precautions x1
d. Standard Precautions x1 x
ANSWER: C
1 x1
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Contact Precautions are required. Caregivers must use gloves and gowns when entering the ro
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
om. Care is taken not to touch their own eyes or mucous membranes with a contaminated glo
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ved hand. Children are placed in a private room or in a room with other children with RSV i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nfections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
children need to be protected from exposure to the virus. The virus is not airborne.
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiratio
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n. This suggests what condition?
x1 x1 x1 x1
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea x1 x1 x1
ANSWER: A
x1 x1
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, f
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
, Pediatric Nursing- A Case-Based Approach x1 x1 x1 x1
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe str
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
idor.
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
o respiratory syncytial virus (RSV)?
x1 x1 x1 x1
a. Activity Intolerance x1
b. Decreased Cardiac Output x1 x1
c. Pain, Acute x1
d. Tissue Perfusion, Ineffective (peripheral
x1 x1 x1
) ANS. A
x1 x1
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1by this respiratory-disease process.
x1 x1 x1
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1by this respiratory-disease process.
x1 x1 x1
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen suppl
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
y and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pai
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affect
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed by this respiratory-disease process.
x1 x1 x1 x1
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1by this respiratory-disease process.
x1 x1 x1
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not aff
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ected by this respiratory-disease process.
x1 x1 x1 x1
Chapter 2: Asthma x1 x1
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment findin
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
g suggests that the childs condition is worsening?
x1 x1 x1 x1 x1 x1 x1
a. Hypoventilation
b. Thirst
c. Bradycardia
