Test Bank for Pediatric Nursing A Case-Based Approach 1st Edition Tagher Knapp

PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp




TESTBANK
PediatricNursing,ACase-Based
Approach,1stEditionByTagher
Knapp

, PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp


Chapter1:Bronchiolitis



1. Whichinterventionisappropriatefortheinfanthospitalizedwithbronchiolitis?



a. Positiononthesidewithneckslightlyflexed.

b. Administerantibioticsasordered.



c. Restrictoralandparenteralfluidsiftachypneic.

d. Givecool,humidifiedoxygen.ANS:D

Cool,humidifiedoxygenisgiventorelievedyspnea,hypoxemia,andinsensiblefluidlossfrom

tachypnea.Theinfantshouldbepositionedwiththeheadandchestelevatedata30-to40-degreeangle andthe
neck slightly extended to maintain an open airway and decrease pressure on the diaphragm. The etiology of
bronchiolitisisviral.Antibioticsaregivenonlyifthereisasecondarybacterialinfection.
Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are givenparenterally to
preventdehydration.



2. Aninfantwithbronchiolitisishospitalized.Thecausativeorganismisrespiratorysyncytial
virus(RSV).Thenurseknows that achildinfectedwiththisvirusrequireswhattypeofisolation?
b




a. Reverseisolation

b. Airborneisolation



c. ContactPrecautions

d. StandardPrecautionsANS:C

RSVistransmittedthroughdroplets.InadditiontoStandardPrecautionsandhandwashing,

ContactPrecautionsarerequired.Caregiversmustuseglovesandgownswhenenteringtheroom.Careis taken
not to touch their own eyes or mucous membranes with a contaminated gloved hand. Childrenare placed in
aprivateroomor ina roomwithotherchildren withRSVinfections.Reverse isolation

, PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp


focusesonkeepingbacteriaawayfromtheinfant.WithRSV,otherchildrenneedtobeprotected
fromexposure to thevirus. Thevirus is not airborne.



3. Achildhasachroniccoughanddiffusewheezingduringtheexpiratoryphaseofrespiration.
Thissuggestswhatcondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignbodyintracheaANS:A

Asthmamayhavethesechronicsignsandsymptoms.Pneumoniaappearswithanacute onset,fever,

andgeneralmalaise.Bronchiolitisisanacuteconditioncausedbyrespiratorysyncytial



virus.Foreignbodyinthetracheaoccurswithacuterespiratorydistressorfailureandmaybestridor.

4. Whichnursingdiagnosisismostappropriateforaninfantwithacutebronchiolitisdue
torespiratorysyncytialvirus(RSV)?

a. ActivityIntolerance

b. DecreasedCardiacOutput

c. Pain,Acute

d. TissuePerfusion,Ineffective(peripheral)ANS.A

Rationale1:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

Rationale2:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

, PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp


Rationale3:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

Rationale4:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

GlobalRationale:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupply
anddemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
associatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythisrespiratory-disease
process.




Chapter2:Asthma



1. Thenurseiscaringforachildhospitalizedforstatusasthmaticus.Whichassessment
findingsuggests thatthechilds conditionisworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingANS:A



Thenursewouldassessthechildforsignsofhypoxia,includingrestlessness,fatigue,irritability,and increased
heartandrespiratoryrate.Asthechildtiresfromtheincreasedworkofbreathinghypoventilation occurs
leadingto increased carbondioxide levels. Thenursewouldbe alert forsignsof