Edition (2023) by Gannon & Knapp | Complete
Test Bank with Verified Q&A | Latest Edition
,Chapter 8y1: 8yBronchiolitis
1. Which 8yintervention 8yis 8yappropriate 8yfor 8ythe 8yinfant 8yhospitalized 8ywith 8ybronchiolitis?
a. Position 8yon 8ythe 8yside 8ywith 8yneck 8yslightly 8yflexed.
b. Administer 8yantibiotics 8yas 8yordered.
c. Restrict 8yoral 8yand 8yparenteral 8yfluids 8yif 8ytachypnea.
d. Give 8ycool, 8yhumidified 8yoxygen. 8yANS: 8yD
Cool, 8yhumidified 8yoxygen 8yis 8ygiven 8yto 8yrelieve 8ydyspnea, 8yhypoxemia, 8yand 8yinsensible 8yfluid 8yloss 8yfrom
Tachypnea. 8yThe 8yinfant 8yshould 8ybe 8ypositioned 8ywith 8ythe 8yhead 8yand 8ychest 8yelevated 8yat 8ya 8y30-
8yto 8y40-degree 8yangle 8yand 8ythe 8yneck 8yslightly 8yextended 8yto 8ym 8yNat 8yn 8yan 8yopen 8yairway 8yand
8ydecrease 8ypressure 8yon 8ythe 8ydiaphragm. 8yThe 8yetiology 8yof 8ybronchiolitis 8yis 8yvery 8yl. 8yAnt 8yb 8yoptics
8yare 8ygiven 8yonly 8yif 8ythere 8yis 8ya 8ysecondary 8ybacterial 8yinfection. 8yTachypnea 8yincreases 8yinsensible
8yflu 8yd 8yloss. 8yIf 8yt 8ye 8yinfant 8yis 8ytachypnea, 8yfluids 8yare 8ygiven 8yparenteral 8yto 8yprevent 8ydehydration.
2. An 8yinfant 8ywith 8ybronchiolitis 8yis 8yhospitalized. S 8ytie 8yorganism 8yis 8yrespiratory 8ysyncytial
8yThe 8yc 8y(RSV). 8yThe 8ynurse 8yknows 8ythat 8ya 8ychild 8yvirus 8ys 8yrequires 8ywhat 8ytype 8yof
8yinfected 8ywith 8ythis 8yvery 8yisolation?
a. Reverse 8yisolation
b. Airborne 8yisolation
c. Contact 8yPrecautions
d. Standard 8yPrecautions 8yANS: 8yC
,RSV 8yis 8ytransmitted 8ythrough 8ydroplets. 8yIn 8yaddition 8yto 8yStandard 8yPrecautions 8yand 8yhand 8ywashing,
Contact 8yPrecautions 8yare 8yrequired. 8yCaregivers 8ymust 8yuse 8ygloves 8yand 8ygowns 8ywhen 8yentering 8ythe
8yroom. 8yCare 8yis 8ytaken 8ynot 8yto 8ytouch 8ytheir 8yown 8yeyes 8yor 8ymucous 8ymembranes 8ywith 8ya
8ycontaminated 8ygloved 8yhand. 8yChildren 8yare 8yplaced 8yin 8ya 8yprivate 8yroom 8yor 8yin 8ya 8yroom 8ywith
8yother 8ychildren 8ywith 8yRSV 8yinfections. 8yReverse 8yisolation 8yfocuses 8yon 8ykeeping 8ybacteria 8yaway
8yfrom 8ythe 8yinfant. 8yWith 8yRSV, 8yother 8ychildren 8yneed 8yto 8ybe 8yprotected 8yfrom 8yexposure 8yto 8ythe
8yvirus. 8yThe 8yvirus 8yis 8ynot 8yairborne.
, Pediatric 8yNursing, 8ya 8yCase-Based 8yApproach, 8y2nd 8yEdition 8yBy 8yTag
8yher 8yKnapp
3. A 8ychild 8yhas 8ya 8ychronic 8ycough 8yand 8ydiffuse 8ywheezing 8yduring 8ythe 8yexpiratory 8yphase 8yof
8yrespiration. 8yThis 8ysuggests 8ywhat 8ycondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign 8ybody 8yin 8ytrachea 8yANS: 8yA
Asthma 8ymay 8yhave 8ythese 8ychronic 8ysigns 8yND 8ysymptoms. 8yPneumonia 8yappears 8ywith 8yan 8yacute
onset, 8yfever, 8yAnd 8ygeneral 8ymalaise. 8yBronchiolitis 8ys 8yn 8yacute 8ycondition 8ycaused 8yby 8yrespiratory
8y
8y syncytial
Virus. 8yForeign 8ybody 8yin 8ythe 8ytrachea 8yoccurs 8ywith 8yace 8ye 8yrespiratory 8ydistress 8yor 8yfailure 8yand 8ymaybe
8ystridor.
4. Which 8ynursing 8ydiagnosis 8yis 8ymost 8yappropriate 8ye 8yfor 8yan 8yinfant 8ywith 8yacute
8ybronchiolitis 8ydue 8yto 8yrespiratory 8ysyncytial 8yvirus 8y(RSV)?
a. Activity 8yIntolerance
b. Decreased 8yCardiac 8yOutput
c. Pain, 8yAcute
d. Tissue 8yPerfusion, 8yIneffective 8y(peripheral) 8yANS. 8yA
Rationale 8y1: 8yActivity 8yintolerance 8yis 8ya 8yproblem 8ybecause 8yof 8ythe 8yimbalance 8ybetween 8yoxygen
8ysupply 8yand 8ydemand. 8yCardiac 8youtput 8yis 8ynot 8ycompromised 8yduring 8yan 8yacute 8yphase 8yof
8ybronchiolitis. 8yPain 8yis 8ynot 8yusually 8yassociated 8ywith 8yacute 8ybronchiolitis. 8yTissue 8yperfusion
8y(peripheral) 8yis 8ynot 8yaffected 8yby 8ythis 8yrespiratory 8ydisease 8yprocess.
Rationale 8y2: 8yActivity 8yintolerance 8yis 8ya 8yproblem 8ybecause 8yof 8ythe 8yimbalance 8ybetween 8yoxygen
8ysupply 8yand 8ydemand. 8yCardiac 8youtput 8yis 8ynot 8ycompromised 8yduring 8yan 8yacute 8yphase 8yof
8ybronchiolitis. 8yPain 8yis 8ynot 8yusually 8yassociated 8ywith 8yacute 8ybronchiolitis. 8yTissue 8yperfusion
8y(peripheral) 8yis 8ynot 8yaffected 8yby 8ythis 8yrespiratory 8ydisease 8yprocess.
Rationale 8y3: 8yActivity 8yintolerance 8yis 8ya 8yproblem 8ybecause 8yof 8ythe 8yimbalance 8ybetween 8yoxygen
8ysupply 8yand 8ydemand. 8yCardiac 8youtput 8yis 8ynot 8ycompromised 8yduring 8yan 8yacute 8yphase 8yof
8ybronchiolitis. 8yPain 8yis 8ynot 8yusually 8yassociated 8ywith 8yacute 8ybronchiolitis. 8yTissue 8yperfusion
8y(peripheral) 8yis 8ynot 8yaffected 8yby 8ythis 8yrespiratory 8ydisease 8yprocess.