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TESTBANK |
Pediatric Nursing- A Case-Based Approach
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| 2nd Edition by Tagher Knapp
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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
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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. Standard
|Precautions | ANSWER: |C
RSV |is |transmitted |through |droplets. |In |addition |to |Standard |Precautions |and |hand |washing,
| Contact |Precautions |are |required. |Caregivers |must |use |gloves |and |gowns |when |entering |the
| room. |Care |is |taken |not |to |touch |their |own |eyes |or |mucous |membranes |with |a
|contaminated | gloved |hand. |Children |are |placed |in |a |private |room |or |in |a |room |with |other
|children |with |RSV | infections. |Reverse |isolation |focuses |on |keeping |bacteria |away |from |the
|infant. |With |RSV, |other | children |need |to |be |protected |from |exposure |to |the |virus. |The |virus
|is |not |airborne.
3. A |child |has |a |chronic |cough |and |diffuse |wheezing |during |the |expiratory |phase |of
|respiration. | This |suggests |what |condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
, Pediatric Nursing- A Case-Based Approach
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d. Foreign|body|in |trachea
| ANSWER: |A
Asthma |may|have |these |chronic |signs |and |symptoms. |Pneumonia |appears |with |an |acute
|onset, | fever, |and |general |malaise. |Bronchiolitis |is |an |acute |condition | caused |by |respiratory
|syncytial