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