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TESTBANK b
Pediatric Nursing- A Case-Based Approach
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b 2nd Edition by Tagher Knapp
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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 b b b b
Chapter 1: Bronchiolitis b b
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightlyflexed. b b b b b b b
b. Administer antibiotics as ordered. b b b
c. Restrict oral and parenteral fluids if tachypneic.
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d. Givecool,humidifiedoxygen. b b b
ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
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btachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
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bangle and the neck slightly extended to maintain an open airway and decrease pressure on the
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bdiaphragm. 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 with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
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bvirus (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 b
b. Airborne isolation b
c. Contact Precautions b
d. Standard
Precautions ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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b Contact Precautions are required. Caregivers must use gloves and gowns when entering the
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b room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
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bgloved hand. Children are placed in a private room or in a room with other children with RSV
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binfections. Reverse isolation focuses on keeping bacteria awayfrom the infant. With RSV, other
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bchildren 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 respiration.
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bThis suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea b b b
, Pediatric Nursing- A Case-Based Approach
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ANSWER: A
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Asthma mayhave these chronic signs and symptoms. Pneumonia appears with an acute onset,
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bfever, and general malaise. Bronchiolitis is an acute condition caused byrespiratory syncytial
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