Pediatric Nursing- A Case-Based Approach
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
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 tachypnea. The infant should be positioned with
the head and chest elevated at a 30- to 40-degree angle 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 secondary bacterial infection. Tachypnea increases insensible fluid
loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is
respiratory syncytial virus (RSV). The nurse knows that a child infected
with this virus requires what type of isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. St
andard
Precautions
ANSWER: C
RSV fis ftransmitted fthrough fdroplets. fIn faddition fto fStandard fPrecautions
fand fhand fwashing, f Contact fPrecautions fare frequired. fCaregivers fmust
fuse fgloves fand fgowns fwhen fentering fthe f room. fCare fis ftaken fnot fto
ftouch ftheir fown feyes for fmucous fmembranes fwith fa fcontaminated
f gloved fhand. fChildren fare fplaced fin fa fprivate froom for fin fa froom fwith
fother fchildren fwith fRSV f infections. fReverse fisolation ffocuses fon fkeeping
fbacteria faway ffrom fthe finfant. fWith fRSV, fother f children fneed fto fbe
fprotected ffrom fexposure fto fthe fvirus. fThe fvirus fis fnot fairborne.
, Pediatric Nursing- A Case-Based Approach
3. A fchild fhas fa fchronic fcough fand fdiffuse fwheezing fduring fthe
fexpiratory fphase fof frespiration. f This fsuggests fwhat fcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn fbody fin
ftrachea
f ANSWER: fA
Asthma fmay fhave fthese fchronic fsigns fand fsymptoms. fPneumonia fappears
fwith fan facute fonset, f fever, fand fgeneral fmalaise. fBronchiolitis fis fan facute
fcondition fcaused fby frespiratory fsyncytial
virus. fForeign fbody fin fthe ftrachea foccurs fwith facute frespiratory fdistress for
ffailure fand fmaybe f stridor.
4. Which fnursing fdiagnosis fis fmost fappropriate ffor fan finfant fwith
facute fbronchiolitis fdue fto f respiratory fsyncytial fvirus f(RSV)?
a. Activity fIntolerance
b. Decreased fCardiac fOutput
c. Pain, fAcute
d. Tissue fPerfusion,
fIneffective f(peripheral)
f ANS. fA
Rationale f1: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot
fcompromised fduring fan facute fphase fof fbronchiolitis. fPain fis f not fusually
fassociated fwith facute fbronchiolitis. fTissue fperfusion f(peripheral) fis fnot
faffected fby f this frespiratory-disease fprocess.
Rationale f2: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot
fcompromised fduring fan facute fphase fof fbronchiolitis. fPain fis f not fusually
fassociated fwith facute fbronchiolitis. fTissue fperfusion f(peripheral) fis fnot
faffected fby f this frespiratory-disease fprocess.
Rationale f3: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot fcompromised
fduring fan facute fphase fof fbronchiolitis. fPain fis f not fusually fassociated
fwith facute fbronchiolitis. fTissue fperfusion f(peripheral) fis fnot faffected fby
f this frespiratory-disease fprocess.
Rationale f4: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
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 tachypnea. The infant should be positioned with
the head and chest elevated at a 30- to 40-degree angle 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 secondary bacterial infection. Tachypnea increases insensible fluid
loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is
respiratory syncytial virus (RSV). The nurse knows that a child infected
with this virus requires what type of isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. St
andard
Precautions
ANSWER: C
RSV fis ftransmitted fthrough fdroplets. fIn faddition fto fStandard fPrecautions
fand fhand fwashing, f Contact fPrecautions fare frequired. fCaregivers fmust
fuse fgloves fand fgowns fwhen fentering fthe f room. fCare fis ftaken fnot fto
ftouch ftheir fown feyes for fmucous fmembranes fwith fa fcontaminated
f gloved fhand. fChildren fare fplaced fin fa fprivate froom for fin fa froom fwith
fother fchildren fwith fRSV f infections. fReverse fisolation ffocuses fon fkeeping
fbacteria faway ffrom fthe finfant. fWith fRSV, fother f children fneed fto fbe
fprotected ffrom fexposure fto fthe fvirus. fThe fvirus fis fnot fairborne.
, Pediatric Nursing- A Case-Based Approach
3. A fchild fhas fa fchronic fcough fand fdiffuse fwheezing fduring fthe
fexpiratory fphase fof frespiration. f This fsuggests fwhat fcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn fbody fin
ftrachea
f ANSWER: fA
Asthma fmay fhave fthese fchronic fsigns fand fsymptoms. fPneumonia fappears
fwith fan facute fonset, f fever, fand fgeneral fmalaise. fBronchiolitis fis fan facute
fcondition fcaused fby frespiratory fsyncytial
virus. fForeign fbody fin fthe ftrachea foccurs fwith facute frespiratory fdistress for
ffailure fand fmaybe f stridor.
4. Which fnursing fdiagnosis fis fmost fappropriate ffor fan finfant fwith
facute fbronchiolitis fdue fto f respiratory fsyncytial fvirus f(RSV)?
a. Activity fIntolerance
b. Decreased fCardiac fOutput
c. Pain, fAcute
d. Tissue fPerfusion,
fIneffective f(peripheral)
f ANS. fA
Rationale f1: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot
fcompromised fduring fan facute fphase fof fbronchiolitis. fPain fis f not fusually
fassociated fwith facute fbronchiolitis. fTissue fperfusion f(peripheral) fis fnot
faffected fby f this frespiratory-disease fprocess.
Rationale f2: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot
fcompromised fduring fan facute fphase fof fbronchiolitis. fPain fis f not fusually
fassociated fwith facute fbronchiolitis. fTissue fperfusion f(peripheral) fis fnot
faffected fby f this frespiratory-disease fprocess.
Rationale f3: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot fcompromised
fduring fan facute fphase fof fbronchiolitis. fPain fis f not fusually fassociated
fwith facute fbronchiolitis. fTissue fperfusion f(peripheral) fis fnot faffected fby
f this frespiratory-disease fprocess.
Rationale f4: fActivity fintolerance fis fa fproblem fbecause fof fthe fimbalance
fbetween foxygen fsupply f and fdemand. fCardiac foutput fis fnot
