TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,PediatricdNursing-dAdCase-BaseddApproach
, PediatricdNursing-dAdCase-BaseddApproach
Chapterd1:d Bronchiolitis
1. Whichdinterventiondisdappropriatedfordthedinfantdhospitalizeddwithdbronchiolitis?
a. Positiondondthedsidedwithdneckdslightlydflexed.
b. Administerdantibioticsdasdordered.
c. Restrictdoraldanddparenteraldfluidsdifdtachypneic.
d. Givedcool,dhumidifieddoxygen.
d ANSWER:dD
Cool,dhumidifieddoxygendisdgivendtodrelieveddyspnea,dhypoxemia,danddinsensibledfluiddlossdfromd
tachypnea.dThedinfantdshoulddbedpositioneddwithdthedheaddanddchestdelevateddatdad30-dtod40-
degreed angledanddthedneckdslightlydextendeddtodmaintaindandopendairwaydandddecreasedpressu
redondthed diaphragm.dThedetiologydofdbronchiolitisdisdviral.dAntibioticsdaredgivendonlydifdtheredis
dad secondarydbacterialdinfection.dTachypneadincreasesdinsensibledfluiddloss.dIfdthedinfantdisd tach
ypneic,dfluidsdaredgivendparenterallydtodpreventddehydration.
2. Andinfantdwithdbronchiolitisdisdhospitalized.dThedcausativedorganismdisdrespiratorydsyncytia
ld virusd(RSV).dThednursedknowsdthatdadchilddinfecteddwithdthisdvirusdrequiresdwhatdtypedofd i
solation?
a. Reversedisolation
b. Airbornedisolation
c. ContactdPrecautions
d. StandarddPrecaution
sd ANSWER:dC
RSVdisdtransmitteddthroughddroplets.dIndadditiondtodStandarddPrecautionsdanddhanddwashing,d C
ontactdPrecautionsdaredrequired.dCaregiversdmustdusedglovesdanddgownsdwhendenteringdthed ro
om.dCaredisdtakendnotdtodtouchdtheirdowndeyesdordmucousdmembranesdwithdadcontaminatedd gl
oveddhand.dChildrendaredplaceddindadprivatedroomdordindadroomdwithdotherdchildrendwithdRSVd i
nfections.dReversedisolationdfocusesdondkeepingdbacteriadawaydfromdthedinfant.dWithdRSV,dother
d childrendneeddtodbedprotecteddfromdexposuredtodthedvirus.dThedvirusdisdnotdairborne.
3. Adchilddhasdadchronicdcoughdandddiffusedwheezingdduringdthedexpiratorydphasedofdrespiratio
n.d Thisdsuggestsdwhatdcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreigndbodydindtrache
, PediatricdNursing-dAdCase-BaseddApproach
ad ANSWER:dA
Asthmadmaydhavedthesedchronicdsignsdanddsymptoms.dPneumoniadappearsdwithdandacutedonset
,d fever,danddgeneraldmalaise.dBronchiolitisdisdandacutedconditiondcauseddbydrespiratorydsyncytial