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