D4 D4 D4 D4 D4
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
D4 D4 D4 D4 D4
, Pediatric Nursing- A Case-Based Approach D4 D4 D4 D4 D4
Chapter 1: Bronchiolitis D4 D 4
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
D4 D4 D4 D4 D4 D4 D4 D4 D4
a. Position on the side with neck slightly flexed. D4 D4 D4 D4 D4 D4 D4
b. Administer antibiotics as ordered. D4 D4 D4
c. Restrict oral and parenteral fluids if tachypneic.D4 D4 D4 D4 D4 D4
d. Give cool, humidified oxyge D4 D4 D4
n. ANSWER: D
D4 D4
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
tachypnea. The infant should be positioned with the head and chest elevated at a 30-
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
D4 to 40- D4
degree angle and the neck slightly extended to maintain an open airway and decrease p
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
ressure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D
if there is a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the
4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
D4 infant is tachypneic, fluids are given parenterally to prevent dehydration.
D4 D4 D4 D4 D4 D4 D4 D4 D4
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syn
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
cytial virus (RSV). The nurse knows that a child infected with this virus requires what t
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
ype of isolation?D4 D4
a. Reverse isolation D4
b. Airborne isolation D4
c. Contact Precautions D4
d. Standard Precautio D4
ns ANSWER: CD4 D4
, Pediatric Nursing- A Case-Based Approach D4 D4 D4 D4 D4
RSV is transmitted through droplets. In addition to Standard Precautions and hand washi
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
ng, Contact Precautions are required. Caregivers must use gloves and gowns when enter
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
ing the D4
room. Care is taken not to touch their own eyes or mucous membranes with a contamin
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
ated gloved hand. Children are placed in a private room or in a room with other children
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
with RSV infections. Reverse isolation focuses on keeping bacteria away from the infant.
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
With RSV, other children need to be protected from exposure to the virus. The virus is no
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
t airborne.
D4
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of resp
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
iration. This suggests what condition? D4 D4 D4 D4
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trach D4 D4 D4
ea ANSWER: A
D4 D4
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4 D4