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TESTBANK v
Pediatric Nursing- A Case-Based Approach
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v 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 v v v v
Chapter 1: Bronchiolitis v v
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightlyflexed. v v v v v v v
b. Administer antibiotics as ordered. v v v
c. Restrict oral and parenteral fluids if tachypneic. v v v v v v
d. Givecool,humidifiedoxygen. v v v
ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
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vtachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
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vangle and the neck slightly extended to maintain an open airway and decrease pressure on the
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vdiaphragm. 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 respiratorysyncytial
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vvirus (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. Reverseisolation v
b. Airborneisolation v
c. Contact Precautions v
d. StandardPrecautions v
ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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v Contact Precautions are required. Caregivers must use gloves and gowns when entering the
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v room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
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vgloved hand. Children are placed in a private room or in a room with other children with RSV
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vinfections. Reverse isolation focuses on keeping bacteria awayfrom the infant. With RSV, other
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vchildren 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 expiratoryphase of respiration.
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vThis suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea v v v
, 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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vfever, and general malaise. Bronchiolitis is an acute condition caused byrespiratorysyncytial
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