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

Pediatric Nursing- A Case-Based Approach
ss ss ss ss ss




TEST BANK
ss ss




Pediatric Nursing- A Case-Based Approach
ss ss ss ss ss




2nd Edition by Tagher Knapp
ss ss ss ss




ss Chapters 1 - 34 | All Chapters
ss ss ss ss ss ss

,Pediatric Nursing- A Case-Based Approach
ss ss ss ss ss

, Pediatric Nursing- A Case-Based Approach ss ss ss ss ss




Chapter 1: ss s s Bronchiolitis


1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
ss ss ss ss ss ss ss ss ss



a. Position on the side with neck slightly flexed. ss ss ss ss ss ss ss




b. Administer antibiotics as ordered. ss ss ss



c. Restrict oral and parenteral fluids if tachypneic.
ss ss ss ss ss ss




d. Give cool, humidified oxygen. ss ss ss



ANSWER: D
ss ss


Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
ss ss ss ss ss ss ss ss ss ss ss ss ss



tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



degree angle and the neck slightly extended to maintain an open airway and decrease pressure
ss ss ss ss ss ss ss ss ss ss ss ss ss ss


on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
ss ss ss ss ss ss ss ss ss ss ss ss ss



tachypneic, fluids are given parenterally to prevent dehydration.
ss ss ss ss ss ss ss ss




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory
ss ss ss ss ss ss ss ss ss ss



syncytial virus (RSV). The nurse knows that a child infected with this virus requires what
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss


type of isolation?
ss ss ss



a. Reverse isolation ss



b. Airborne isolation ss




c. Contact Precautions ss



d. Standard Precautions ss


ANSWER: C
ss ss


RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
ss ss ss ss ss ss ss ss ss ss ss ss



Contact Precautions are required. Caregivers must use gloves and gowns when entering the
ss ss ss ss ss ss ss ss ss ss ss ss ss


room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



gloved hand. Children are placed in a private room or in a room with other children with
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



RSV infections. Reverse isolation focuses on keeping bacteria away from the infant. With
ss ss ss ss ss ss ss ss ss ss ss ss ss



RSV, other children need to be protected from exposure to the virus. The virus is not
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss


airborne.
ss




3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
ss ss ss ss ss ss ss ss ss ss ss ss ss


respiration. This suggests what condition?
ss ss ss ss ss



a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ss ss ss



ANSWER: A
ss ss



Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
ss ss ss ss ss ss ss ss ss ss ss ss ss

, Pediatric Nursing- A Case-Based Approach
ss ss ss ss ss




fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ss ss ss ss ss ss ss ss ss ss ss ss