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 s




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




Chapter1: Bronchiolitis s s




1. Whichinterventionisappropriatefor theinfanthospitalizedwithbronchiolitis?
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a. Positiononthesidewith neckslightlyflexed. s s s s s s s




b. Administerantibioticsasordered. s s s




c. Restrictoralandparenteral fluids iftachypneic. s s s s s s




d. Givecool,humidifiedoxygen. s s s




ANSWER: D
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Cool,humidifiedoxygen isgiventorelievedyspnea, hypoxemia, andinsensiblefluid loss from
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stachypnea.Theinfant should bepositioned withtheheadandchest elevated ata30-to40-degree
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sangle and the neck slightly extended to maintain an open airwayand decrease pressure on the
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sdiaphragm. The etiologyof bronchiolitis is viral. Antibiotics are given onlyif 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 parenterallyto prevent dehydration.
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2. Aninfantwithbronchiolitisishospitalized. Thecausativeorganismisrespiratorysyncytial
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svirus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?
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a. Reverseisolation s




b. Airborneisolation s




c. Contact Precautions s




d. StandardPrecautions s




sANSWER: C s




RSVistransmittedthroughdroplets. InadditiontoStandardPrecautionsandhandwashing, Contact
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Precautions are required. Caregivers must use gloves and gowns when enteringthe room. Care is
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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 keepingbacteria awayfromtheinfant.WithRSV,other children need to be
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protected from exposure to the virus. The virus is not airborne.
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3. Achildhasa chroniccough anddiffuse wheezingduringthe expiratoryphase ofrespiration. This
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suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea s s s




s ANSWER: A s

, Pediatric Nursing-A Case-Based Approach
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Asthmamayhavethese chronic signsand symptoms. Pneumoniaappearswithan acuteonset,
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fever,andgeneral malaise. Bronchiolitisisanacutecondition causedbyrespiratorysyncytial
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