TEST BANK Pediatric Nursing, A CaseBased Approach,1st Edition By Tagher Knapp

PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp




TEST BANK m




Pediatric Nursing, A Case-
m m m




Based Approach, 1st Edition By
m m m m m m




Tagher Knapp m

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

Chapterm1:mBronchiolitis



1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?



a. Positionmonmthemsidemwithmneckmslightlymflexed.

b. Administermantibioticsmasmordered.



c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.

d. Givemcool,mhumidifiedmoxygen.mANS:mD

Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfrom

tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-mtom40-
degreemanglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressuremon
mthemdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmtheremismamsecond


arymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfantmismtachypneic,mfluidsmar
emgivenmparenterallymtompreventmdehydration.



2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncytialmv
irusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtypemofmisolation?



a. Reversemisolation

b. Airbornemisolation



c. ContactmPrecautions

d. StandardmPrecautionsmANS:mC

RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,

ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthemroom.m
Caremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmglovedmhan
d.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSVminfections.mRev
ersemisolation

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

focusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothermchildrenmneedmtombemprotectedmfromm
exposuremtomthemvirus.mThemvirusmismnotmairborne.



3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespiration.
mThismsuggestsmwhatmcondition?




a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignmbodyminmtracheamANS:mA

Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemonset,

m fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial



virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailuremandmmaybemstridor.

4. Whichmnursingmdiagnosismismmostmappropriatemformanminfantmwithmacutembronchiolitismdu
emtomrespiratorymsyncytialmvirusm(RSV)?

a. ActivitymIntolerance

b. DecreasedmCardiacmOutput

c. Pain,mAcute

d. TissuemPerfusion,mIneffectivem(peripheral)mANS.mA

Rationalem1:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu


allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.

Rationalem2:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu


allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

Rationalem3:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu


allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.

Rationalem4:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu


allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.

GlobalmRationale:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupply
mandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno


tmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismres
piratory-mdiseasemprocess.




Chapterm2:mAsthma



1. Themnursemismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfin
dingmsuggestsmthatmthemchildsmconditionmismworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingmANS:mA



Themnursemwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness,mfatigue,mirritability,mand
mincreasedmheartmandmrespiratorymrate.mAsmthemchildmtiresmfrommthemincreasedmworkmofmbreathingmhypov


entilationmoccursmleadingmtomincreasedmcarbonmdioxidemlevels.mThemnursemwouldmbemalertmformsignsmof