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2nd Edition by Tagher Knapp
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Chapters 1 - 34 | All Chapters
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Chapter 1: Bronchiolitis c c
1. Which intervention isappropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. c c c c c c c
b. Administer antibiotics as ordered. c c c
c. Restrict oral and parenteral fluids if tachypneic. c c c c c c
d. Givecool, humidifiedoxygen. c c c
ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
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ctachypnea. The infant should be positioned with the head and chest elevated at a 30-to 40-degree
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cangle and the neck slightly extended to maintain an open airway and decrease pressure on the
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diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
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bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
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given parenterally to prevent dehydration.
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2. An infant withbronchiolitis is hospitalized. The causative organism is respiratorysyncytial
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cvirus (RSV). The nurse knows that a child infected with this virus requires what type of
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cisolation?
a. Reverse isolation c
b. Airborne isolation c
c. Contact Precautions c
d. StandardPrecautions c
ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Contact
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Precautions are required. Caregivers must use gloves and gowns when entering the room. Care is
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taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Children
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are placed in a private room or in a room with other children with RSV infections. Reverse isolation
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focuses on keeping bacteria away from the infant. With RSV, other children need to be protected
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from exposure to the virus. The virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratoryphase of respiration.
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cThis suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea c c c
, ANSWER: A
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Asthma mayhave these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
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and general malaise. Bronchiolitis is an acute condition caused byrespiratorysyncytial
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