TEST BANK -PEDIATRIC NURSING A
Pediatric Nursing- A Case-Based Approach 1st Edition
CARE BASEDTagher APPROCH 1ST EDITION
Knapp Test Bank
Test Preparation (University of Mississippi)
TAGHER KNAPP
, lOMoARcPSD|14969581
1. Which interventionis appropriatefor theinfanthospitalizedwith bronchiolitis?
a. Positionon thesidewith neckslightly flexed.
b. Administerantibioticsas ordered.
c. Restrictoral and parenteralfluids if tachypneic.
d. Give cool,humidified
oxygen. ANS: D
Cool, humidifiedoxygen isgiven to relievedyspnea,hypoxemia,and insensiblefluid loss from
tachypnea.The infantshouldbepositionedwith theheadand chestelevatedat 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 infantwith bronchiolitisis hospitalized.The causativeorganismis respiratorysyncytial virus
(RSV). The nurse knows that a child infected with this virus requires what typeisolation?
of
a. Reverseisolation
b. Airborneisolation
c. ContactPrecautions
d. StandardPrecautions
ANS: C
RSV is transmittedthroughdroplets.In additionto StandardPrecautionsand 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.
Reverseisolation
focuseson keepingbacteriaawayfrom theinfant.With RSV, other children need to be protected from
exposure to the virus. The virus is not airborne.
3. A child has a chronic coughand diffusewheezingduring theexpiratoryphaseof respiration. This
suggests what condition?
a. Asthma
b. Pneumonia
, c. Bronchiolitis
d. Foreignbodyin
trachea ANS: A
Asthmamay havethesechronic signs and symptoms.Pneumoniaappearswith an acuteonset,
fever,and generalmalaise.Bronchiolitisis an acuteconditioncausedby respiratorysyncytial
, virus. Foreign bodyin thetracheaoccurswith acuterespiratorydistressor failureand maybestridor.
4. Which nursing diagnosisis mostappropriatefor an infantwith acutebronchiolitisdue to
respiratory syncytial virus (RSV)?
a. Activity Intolerance
b. DecreasedCardiac Output
c. Pain, Acute
d. TissuePerfusion,Ineffective(peripheral)
ANS. A
Rationale1: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Rationale2: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Rationale3: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Rationale4: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
GlobalRationale:Activity intoleranceis a problembecauseof theimbalancebetweenoxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Chapter2: Asthma
1. The nurseis caring for a child hospitalizedfor statusasthmaticus.Which assessment
finding suggests that the childs condition is worsening?
a. Hypoventilation
b. Thirst
Pediatric Nursing- A Case-Based Approach 1st Edition
CARE BASEDTagher APPROCH 1ST EDITION
Knapp Test Bank
Test Preparation (University of Mississippi)
TAGHER KNAPP
, lOMoARcPSD|14969581
1. Which interventionis appropriatefor theinfanthospitalizedwith bronchiolitis?
a. Positionon thesidewith neckslightly flexed.
b. Administerantibioticsas ordered.
c. Restrictoral and parenteralfluids if tachypneic.
d. Give cool,humidified
oxygen. ANS: D
Cool, humidifiedoxygen isgiven to relievedyspnea,hypoxemia,and insensiblefluid loss from
tachypnea.The infantshouldbepositionedwith theheadand chestelevatedat 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 infantwith bronchiolitisis hospitalized.The causativeorganismis respiratorysyncytial virus
(RSV). The nurse knows that a child infected with this virus requires what typeisolation?
of
a. Reverseisolation
b. Airborneisolation
c. ContactPrecautions
d. StandardPrecautions
ANS: C
RSV is transmittedthroughdroplets.In additionto StandardPrecautionsand 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.
Reverseisolation
focuseson keepingbacteriaawayfrom theinfant.With RSV, other children need to be protected from
exposure to the virus. The virus is not airborne.
3. A child has a chronic coughand diffusewheezingduring theexpiratoryphaseof respiration. This
suggests what condition?
a. Asthma
b. Pneumonia
, c. Bronchiolitis
d. Foreignbodyin
trachea ANS: A
Asthmamay havethesechronic signs and symptoms.Pneumoniaappearswith an acuteonset,
fever,and generalmalaise.Bronchiolitisis an acuteconditioncausedby respiratorysyncytial
, virus. Foreign bodyin thetracheaoccurswith acuterespiratorydistressor failureand maybestridor.
4. Which nursing diagnosisis mostappropriatefor an infantwith acutebronchiolitisdue to
respiratory syncytial virus (RSV)?
a. Activity Intolerance
b. DecreasedCardiac Output
c. Pain, Acute
d. TissuePerfusion,Ineffective(peripheral)
ANS. A
Rationale1: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Rationale2: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Rationale3: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Rationale4: Activity intoleranceis a problembecauseof theimbalancebetweenoxygensupply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
GlobalRationale:Activity intoleranceis a problembecauseof theimbalancebetweenoxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
-
disease process.
Chapter2: Asthma
1. The nurseis caring for a child hospitalizedfor statusasthmaticus.Which assessment
finding suggests that the childs condition is worsening?
a. Hypoventilation
b. Thirst
