Pediatric Nursing- A Case-Based Approach
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TEST BANK
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Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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ff Chapters 1 - 34 | All Chapters
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,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach ff ff ff ff ff
Chapter 1: Bronchiolitis ff f f
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. ff ff ff ff ff ff ff
b. Administer antibiotics as ordered. ff ff ff
c. Restrict oral and parenteral fluids if tachypneic. ff ff ff ff ff ff
d. Give cool, humidified oxygen. f f f
ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
ff ff ff ff ff ff ff ff ff ff ff ff ff
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
ff ff ff ff ff ff ff ff ff ff ff ff
tachypneic, fluids are given parenterally to prevent dehydration.
ff ff ff ff ff ff ff ff
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
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virus (RSV). The nurse knows that a child infected with this virus requires what type of
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
isolation?
ff
a. Reverse isolation ff
b. Airborne isolation ff
c. Contact Precautions ff
d. StandardPrecautions f
ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
ff ff ff ff ff ff ff ff ff ff ff ff
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
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room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
gloved hand. Children are placed in a private room or in a room with other children with RSV
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
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children need to be protected from exposure to the virus. The virus is not airborne.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
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This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign bodyin trachea f f f
ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
ff f ff ff ff ff ff ff ff ff ff ff ff
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ff ff ff ff ff ff ff ff ff ff ff ff
, Pediatric Nursing- A Case-Based Approach ff ff ff ff ff
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
stridor.
ff
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
ff ff ff ff ff ff ff ff ff ff ff ff ff
respiratory syncytial virus (RSV)?
ff ff ff ff
a. Activity Intolerance ff
b. Decreased Cardiac Output ff ff
c. Pain, Acute ff
d. Tissue Perfusion, Ineffective (peripheral) f f f
ANS. A
ff ff
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
ff ff ff ff ff ff ff ff ff ff ff ff
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
ff ff ff ff ff ff ff ff ff ff ff ff ff
affected by this respiratory-disease process.
ff ff ff ff ff
Chapter 2: Asthma ff ff
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
ff ff ff ff ff ff ff ff ff ff ff ff ff
suggests that the childs condition is worsening?
ff ff ff ff ff ff ff
a. Hypoventilation
b. Thirst
c. Bradycardia
ff ff ff ff ff
TEST BANK
ff ff
Pediatric Nursing- A Case-Based Approach
ff ff ff ff ff
2nd Edition by Tagher Knapp
ff ff ff ff
ff Chapters 1 - 34 | All Chapters
ff ff ff ff ff ff
,Pediatric Nursing- A Case-Based Approach
ff ff ff ff ff
, Pediatric Nursing- A Case-Based Approach ff ff ff ff ff
Chapter 1: Bronchiolitis ff f f
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
ff ff ff ff ff ff ff ff ff
a. Position on the side with neck slightly flexed. ff ff ff ff ff ff ff
b. Administer antibiotics as ordered. ff ff ff
c. Restrict oral and parenteral fluids if tachypneic. ff ff ff ff ff ff
d. Give cool, humidified oxygen. f f f
ANSWER: D
ff ff
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
ff ff ff ff ff ff ff ff ff ff ff ff ff
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
ff ff ff ff ff ff ff ff ff ff ff ff
tachypneic, fluids are given parenterally to prevent dehydration.
ff ff ff ff ff ff ff ff
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
ff ff ff ff ff ff ff ff ff ff ff
virus (RSV). The nurse knows that a child infected with this virus requires what type of
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
isolation?
ff
a. Reverse isolation ff
b. Airborne isolation ff
c. Contact Precautions ff
d. StandardPrecautions f
ANSWER: C
ff ff
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
ff ff ff ff ff ff ff ff ff ff ff ff
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
ff ff ff ff ff ff ff ff ff ff ff ff ff
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
gloved hand. Children are placed in a private room or in a room with other children with RSV
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
children need to be protected from exposure to the virus. The virus is not airborne.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
This suggests what condition?
ff ff ff ff
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign bodyin trachea f f f
ANSWER: A
ff ff
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
ff f ff ff ff ff ff ff ff ff ff ff ff
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ff ff ff ff ff ff ff ff ff ff ff ff
, Pediatric Nursing- A Case-Based Approach ff ff ff ff ff
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
stridor.
ff
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
ff ff ff ff ff ff ff ff ff ff ff ff ff
respiratory syncytial virus (RSV)?
ff ff ff ff
a. Activity Intolerance ff
b. Decreased Cardiac Output ff ff
c. Pain, Acute ff
d. Tissue Perfusion, Ineffective (peripheral) f f f
ANS. A
ff ff
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
ff ff ff ff ff ff ff ff ff ff ff ff ff
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ff ff ff ff ff ff ff ff ff ff ff ff ff
this respiratory-disease process.
ff ff ff
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
ff ff ff ff ff ff ff ff ff ff ff ff
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
ff ff ff ff ff ff ff ff ff ff ff ff ff
affected by this respiratory-disease process.
ff ff ff ff ff
Chapter 2: Asthma ff ff
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
ff ff ff ff ff ff ff ff ff ff ff ff ff
suggests that the childs condition is worsening?
ff ff ff ff ff ff ff
a. Hypoventilation
b. Thirst
c. Bradycardia
