Test Bank For Pediatric Nursing: A Case-Based Approach 2nd (Second) Edition by GANNON TAGHER and LISA KNAPP

Pediatric Nursing- A Case-Based Approach
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TESTBANK
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PediatricNursing-ACase-BasedApproach
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2ndEditionbyTagherKnapp
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f Chapters1 -34 |AllChapters
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,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach f f f f f




Chapter1: Bronchiolitis f f




1. Whichinterventionisappropriatefor theinfanthospitalizedwithbronchiolitis? f f f f f f f f f




a. Positiononthesidewith neckslightlyflexed. f f f f f f f




b. Administerantibioticsasordered. f f f




c. Restrict oralandparenteral fluids iftachypneic. f f f f f f




d. Givecool,humidifiedoxygen. f f f




ANSWER: D
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Cool,humidifiedoxygen isgiventorelievedyspnea, hypoxemia, andinsensiblefluid lossfrom
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tachypnea.Theinfant should bepositioned withthehead andchest elevatedat a30-to 40-degree angle
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and the neck slightly extended to maintain an open airway and decrease pressure on the diaphragm. The
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etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial infection.
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Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are given parenterally to
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prevent dehydration.
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2. Aninfantwithbronchiolitisishospitalized. Thecausativeorganismisrespiratorysyncytial virus
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(RSV). The nurse knows that a child infected with this virus requires what type of isolation?
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a. Reverseisolation f




b. Airborneisolation f




c. Contact Precautions f




d. StandardPrecautions f




ANSWER: C
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RSVistransmitted throughdroplets. InadditiontoStandardPrecautionsandhandwashing, Contact
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Precautions are required. Caregivers must use gloves and gowns when enteringthe
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room. Care is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand.
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Children are placed in a private room or in a room with other children with RSV infections.Reverse
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isolation focuseson keepingbacteriaawayfromtheinfant.WithRSV,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. Achild hasa chroniccough and diffuse wheezingduringthe expiratoryphase ofrespiration. This
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suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea f f f




ANSWER: A
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Asthmamayhavethese chronic signs andsymptoms. Pneumoniaappearswithan acute onset,
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fever,andgeneral malaise. Bronchiolitisis anacutecondition causedbyrespiratorysyncytial
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, Pediatric Nursing- A Case-Based Approach f f f f f




virus. Foreignbodyinthetrachea occurswithacuterespiratorydistressorfailureandmaybe stridor.
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4. Whichnursingdiagnosis ismostappropriateforaninfantwith acutebronchiolitisdueto
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respiratory syncytial virus (RSV)?
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a. ActivityIntolerance f




b. DecreasedCardiacOutput f f




c. Pain,Acute f




d. TissuePerfusion,Ineffective(peripheral)
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ANS. A
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Rationale1:Activityintolerance isaproblembecauseoftheimbalancebetweenoxygensupply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
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disease process. f




Rationale2:Activityintolerance isaproblembecauseoftheimbalancebetweenoxygensupply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
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disease process. f




Rationale3:Activityintolerance isaproblembecauseoftheimbalancebetweenoxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
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disease process. f




Rationale4:Activityintolerance isaproblembecauseoftheimbalancebetweenoxygensupply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
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disease process. f




GlobalRationale:Activityintoleranceisaproblem becauseoftheimbalancebetweenoxygen supply
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and demand. Cardiac output isnotcompromised duringan acute phase of bronchiolitis. Pain is not
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usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
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respiratory-disease process.
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Chapter 2:Asthma f f




1. Thenurseiscaringforachildhospitalizedforstatus asthmaticus. Whichassessmentfinding
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suggests that the childs condition is worsening?
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a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing