Test Bank - for Pediatric Nursing A Case-Based Approach 1st Edition by Dr. Gannon Tagher, All Chapters Complete Guide A+.pdf

PediatrichNursing,hAhCase-BasedhApproach,h1sthEditionhByhTagherhKnapp




TEST BANK h




Pediatric Nursing, A Case-
h h h




h Based Approach, 1st Edition ByT
h h h h h




agher Knapp h

, PediatrichNursing,hAhCase-BasedhApproach,h1sthEditionhByhTagherhKnapp


Chapterh1:hBronchiolitis



1. Whichhinterventionhishappropriatehforhthehinfanthhospitalizedhwithhbronchiolitis?



a. Positionhonhthehsidehwithhneckhslightlyhflexed.

b. Administerhantibioticshashordered.



c. Restricthoralhandhparenteralhfluidshifhtachypneic.

d. Givehcool,hhumidifiedhoxygen.hANS:hD

Cool,hhumidifiedhoxygenhishgivenhtohrelievehdyspnea,hhypoxemia,handhinsensiblehfluidhlosshfrom

tachypnea.hThehinfanthshouldhbehpositionedhwithhthehheadhandhchesthelevatedhathah30-htoh40-
degreehanglehandhthehneckhslightlyhextendedhtohmaintainhanhopenhairwayhandhdecreasehpressurehonhthe
hdiaphragm.hThehetiologyhofhbronchiolitishishviral.hAntibioticsharehgivenhonlyhifhtherehishahsecondaryhbact


erialhinfection.hTachypneahincreaseshinsensiblehfluidhloss.hIfhthehinfanthishtachypneic,hfluidsharehgivenhpar
enterallyhtohpreventhdehydration.



2. Anhinfanthwithhbronchiolitishishhospitalized.hThehcausativehorganismhishrespiratoryhsyncytialhviru
sh(RSV).hThehnursehknowshthathahchildhinfectedhwithhthishvirushrequireshwhathtypehofhisolation?



a. Reversehisolation

b. Airbornehisolation



c. ContacthPrecautions

d. StandardhPrecautionshANS:hC

RSVhishtransmittedhthroughhdroplets.hInhadditionhtohStandardhPrecautionshandhhandhwashing,

ContacthPrecautionsharehrequired.hCaregivershmusthusehgloveshandhgownshwhenhenteringhthehroom.hCar
ehishtakenhnothtohtouchhtheirhownheyeshorhmucoushmembraneshwithhahcontaminatedhglovedhhand.hChildr
enharehplacedhinhahprivatehroomhorhinhahroomhwithhotherhchildrenhwithhRSVhinfections.hReversehisolation

, PediatrichNursing,hAhCase-BasedhApproach,h1sthEditionhByhTagherhKnapp


focuseshonhkeepinghbacteriahawayhfromhthehinfant.hWithhRSV,hotherhchildrenhneedhtohbehprotectedhfro
mhexposurehtohthehvirus.hThehvirushishnothairborne.



3. Ahchildhhashahchronichcoughhandhdiffusehwheezinghduringhthehexpiratoryhphasehofhrespiration.hThi
shsuggestshwhathcondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignhbodyhinhtracheahANS:hA

Asthmahmayhhavehthesehchronichsignshandhsymptoms.hPneumoniahappearshwithhanhacutehonset

,hfever,handhgeneralhmalaise.hBronchiolitishishanhacutehconditionhcausedhbyhrespiratoryhsyncytial



virus.hForeignhbodyhinhthehtracheahoccurshwithhacutehrespiratoryhdistresshorhfailurehandhmaybehstridor.

4. Whichhnursinghdiagnosishishmosthappropriatehforhanhinfanthwithhacutehbronchiolitishdueht
ohrespiratoryhsyncytialhvirush(RSV)?

a. ActivityhIntolerance

b. DecreasedhCardiachOutput

c. Pain,hAcute

d. TissuehPerfusion,hIneffectiveh(peripheral)hANS.hA

Rationaleh1:hActivityhintolerancehishahproblemhbecausehofhthehimbalancehbetweenhoxygenhsupplyhandhd
emand.hCardiachoutputhishnothcompromisedhduringhanhacutehphasehofhbronchiolitis.hPainhishnothusuallyh
associatedhwithhacutehbronchiolitis.hTissuehperfusionh(peripheral)hishnothaffectedhbyhthishrespiratory-
hdiseasehprocess.




Rationaleh2:hActivityhintolerancehishahproblemhbecausehofhthehimbalancehbetweenhoxygenhsupplyhandhd
emand.hCardiachoutputhishnothcompromisedhduringhanhacutehphasehofhbronchiolitis.hPainhishnothusuallyh
associatedhwithhacutehbronchiolitis.hTissuehperfusionh(peripheral)hishnothaffectedhbyhthishrespiratory-
hdiseasehprocess.

, PediatrichNursing,hAhCase-BasedhApproach,h1sthEditionhByhTagherhKnapp


Rationaleh3:hActivityhintolerancehishahproblemhbecausehofhthehimbalancehbetweenhoxygenhsupplyhandhd
emand.hCardiachoutputhishnothcompromisedhduringhanhacutehphasehofhbronchiolitis.hPainhishnothusuallyh
associatedhwithhacutehbronchiolitis.hTissuehperfusionh(peripheral)hishnothaffectedhbyhthishrespiratory-
hdiseasehprocess.




Rationaleh4:hActivityhintolerancehishahproblemhbecausehofhthehimbalancehbetweenhoxygenhsupplyhandhd
emand.hCardiachoutputhishnothcompromisedhduringhanhacutehphasehofhbronchiolitis.hPainhishnothusuallyh
associatedhwithhacutehbronchiolitis.hTissuehperfusionh(peripheral)hishnothaffectedhbyhthishrespiratory-
hdiseasehprocess.




GlobalhRationale:hActivityhintolerancehishahproblemhbecausehofhthehimbalancehbetweenhoxygenhsupplyhan
dhdemand.hCardiachoutputhishnothcompromisedhduringhanhacutehphasehofhbronchiolitis.hPainhishnothusuallyh
associatedhwithhacutehbronchiolitis.hTissuehperfusionh(peripheral)hishnothaffectedhbyhthishrespiratory-
hdiseasehprocess.




Chapterh2:hAsthma



1. Thehnursehishcaringhforhahchildhhospitalizedhforhstatushasthmaticus.hWhichhassessmenthfindin
ghsuggestshthaththehchildshconditionhishworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbinghANS:hA



Thehnursehwouldhassesshthehchildhforhsignshofhhypoxia,hincludinghrestlessness,hfatigue,hirritability,handhincre
asedhhearthandhrespiratoryhrate.hAshthehchildhtireshfromhthehincreasedhworkhofhbreathinghhypoventilationho
ccurshleadinghtohincreasedhcarbonhdioxidehlevels.hThehnursehwouldhbehalerthforhsignshof