TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters

PediatricINursing-IAICase-BasedIApproachI


TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters

,PediatricINursing-IAICase-BasedIApproachI

, PediatricINursing-IAICase-BasedIApproachI


ChapterI1:I Bronchiolitis


1. WhichIinterventionIisIappropriateIforItheIinfantIhospitalizedIwithIbronchiolitis?
a. PositionIonItheIsideIwithIneckIslightlyIflexed.
b. AdministerIantibioticsIasIordered.
c. RestrictIoralIandIparenteralIfluidsIifItachypneic.
d. GiveIcool,IhumidifiedIoxygen.I
ANSWER:ID
Cool,IhumidifiedIoxygenIisIgivenItoIrelieveIdyspnea,Ihypoxemia,IandIinsensibleIfluidIlossIfrom
tachypnea.ITheIinfantIshouldIbeIpositionedIwithItheIheadIandIchestIelevatedIatIaI30-ItoI40-
degreeIangleIandItheIneckIslightlyIextendedItoImaintainIanIopenIairwayIandIdecreaseIpressureIonIt
heIdiaphragm.ITheIetiologyIofIbronchiolitisIisIviral.IAntibioticsIareIgivenIonlyIifIthereIisIaIseconda
ryIbacterialIinfection.ITachypneaIincreasesIinsensibleIfluidIloss.IIfItheIinfantIisItachypneic,IfluidsIa
reIgivenIparenterallyItoIpreventIdehydration.

2. AnIinfantIwithIbronchiolitisIisIhospitalized.ITheIcausativeIorganismIisIrespiratoryIsyncytialIv
irusI(RSV).ITheInurseIknowsIthatIaIchildIinfectedIwithIthisIvirusIrequiresIwhatItypeIofIisolation
?
a. ReverseIisolation
b. AirborneIisolation
c. ContactIPrecautions
d. StandardIPrecautions
IANSWER:IC

RSVIisItransmittedIthroughIdroplets.IInIadditionItoIStandardIPrecautionsIandIhandIwashing,IContac
tIPrecautionsIareIrequired.ICaregiversImustIuseIglovesIandIgownsIwhenIenteringIthe
room.ICareIisItakenInotItoItouchItheirIownIeyesIorImucousImembranesIwithIaIcontaminatedIglovedI
hand.IChildrenIareIplacedIinIaIprivateIroomIorIinIaIroomIwithIotherIchildrenIwithIRSVIinfections.I
ReverseIisolationIfocusesIonIkeepingIbacteriaIawayIfromItheIinfant.IWithIRSV,IotherIchildrenIneedI
toIbeIprotectedIfromIexposureItoItheIvirus.ITheIvirusIisInotIairborne.

3. AIchildIhasIaIchronicIcoughIandIdiffuseIwheezingIduringItheIexpiratoryIphaseIofIrespiration.IT
hisIsuggestsIwhatIcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignIbodyIinItracheaI
ANSWER:IA
AsthmaImayIhaveItheseIchronicIsignsIandIsymptoms.IPneumoniaIappearsIwithIanIacuteIonset,
fever,IandIgeneralImalaise.IBronchiolitisIisIanIacuteIconditionIcausedIbyIrespiratoryIsyncytial

, PediatricINursing-IAICase-BasedIApproachI

virus.IForeignIbodyIinItheItracheaIoccursIwithIacuteIrespiratoryIdistressIorIfailureIandImaybeIstridor
.

4. WhichInursingIdiagnosisIisImostIappropriateIforIanIinfantIwithIacuteIbronchiolitisIdueItoIr
espiratoryIsyncytialIvirusI(RSV)?

a. ActivityIIntolerance
b. DecreasedICardiacIOutput
c. Pain,IAcute
d. TissueIPerfusion,IIneffectiveI(peripheral)I
ANS.IA
RationaleI1:IActivityIintoleranceIisIaIproblemIbecauseIofItheIimbalanceIbetweenIoxygenIsupplyIan
dIdemand.ICardiacIoutputIisInotIcompromisedIduringIanIacuteIphaseIofIbronchiolitis.IPainIisInotIus
uallyIassociatedIwithIacuteIbronchiolitis.ITissueIperfusionI(peripheral)IisInotIaffectedIbyIthisIrespir
atory-diseaseIprocess.
RationaleI2:IActivityIintoleranceIisIaIproblemIbecauseIofItheIimbalanceIbetweenIoxygenIsupplyIan
dIdemand.ICardiacIoutputIisInotIcompromisedIduringIanIacuteIphaseIofIbronchiolitis.IPainIisInotIus
uallyIassociatedIwithIacuteIbronchiolitis.ITissueIperfusionI(peripheral)IisInotIaffectedIbyIthisIrespir
atory-diseaseIprocess.
RationaleI3:IActivityIintoleranceIisIaIproblemIbecauseIofItheIimbalanceIbetweenIoxygenIsupplyIan
dIdemand.ICardiacIoutputIisInotIcompromisedIduringIanIacuteIphaseIofIbronchiolitis.IPainIisInotIus
uallyIassociatedIwithIacuteIbronchiolitis.ITissueIperfusionI(peripheral)IisInotIaffectedIbyIthisIrespir
atory-diseaseIprocess.
RationaleI4:IActivityIintoleranceIisIaIproblemIbecauseIofItheIimbalanceIbetweenIoxygenIsupplyIan
dIdemand.ICardiacIoutputIisInotIcompromisedIduringIanIacuteIphaseIofIbronchiolitis.IPainIisInotIus
uallyIassociatedIwithIacuteIbronchiolitis.ITissueIperfusionI(peripheral)IisInotIaffectedIbyIthisIrespir
atory-diseaseIprocess.
GlobalIRationale:IActivityIintoleranceIisIaIproblemIbecauseIofItheIimbalanceIbetweenIoxygenIsup
plyIandIdemand.ICardiacIoutputIisInotIcompromisedIduringIanIacuteIphaseIofIbronchiolitis.IPainIisI
notIusuallyIassociatedIwithIacuteIbronchiolitis.ITissueIperfusionI(peripheral)IisInotIaffectedIbyIthisI
respiratory-diseaseIprocess.




ChapterI2:IAsthma

1. TheInurseIisIcaringIforIaIchildIhospitalizedIforIstatusIasthmaticus.IWhichIassessmentIfindingIs
uggestsIthatItheIchildsIconditionIisIworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia