8nApproach
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric 8nNursing- 8nA 8nCase-Based
8nApproach
, Pediatric 8nNursing- 8nA 8nCase-Based
8nApproach
Chapter 8n1: 8 n Bronchiolitis
1. Which 8nintervention 8nis 8nappropriate 8nfor 8nthe 8ninfant 8nhospitalized 8nwith 8nbronchiolitis?
a. Position 8non 8nthe 8nside 8nwith 8nneck 8nslightly 8nflexed.
b. Administer 8nantibiotics 8nas 8nordered.
c. Restrict 8noral 8nand 8nparenteral 8nfluids 8nif 8ntachypneic.
d. Give 8ncool, 8nhumidified
8noxygen. 8nANSWER: 8nD
Cool, 8nhumidified 8noxygen 8nis 8ngiven 8nto 8nrelieve 8ndyspnea, 8nhypoxemia, 8nand 8ninsensible 8nfluid
8nloss 8nfrom 8ntachypnea. 8nThe 8ninfant 8nshould 8nbe 8npositioned 8nwith 8nthe 8nhead 8nand 8nchest
8nelevated 8nat 8na 8n30- 8nto 8n40-degree 8nangle 8nand 8nthe 8nneck 8nslightly 8nextended 8nto 8nmaintain 8nan
8nopen 8nairway 8nand 8ndecrease 8npressure 8non 8nthe 8ndiaphragm. 8nThe 8netiology 8nof 8nbronchiolitis
8nis 8nviral. 8nAntibiotics 8nare 8ngiven 8nonly 8nif 8nthere 8nis 8na 8nsecondary 8nbacterial 8ninfection.
8nTachypnea 8nincreases 8ninsensible 8nfluid 8nloss. 8nIf 8nthe 8ninfant 8nis 8ntachypneic, 8nfluids 8nare
8ngiven 8nparenterally 8nto 8nprevent 8ndehydration.
2. An 8ninfant 8nwith 8nbronchiolitis 8nis 8nhospitalized. 8nThe 8ncausative 8norganism 8nis 8nrespiratory
8nsyncytial 8nvirus 8n(RSV). 8nThe 8nnurse 8nknows 8nthat 8na 8nchild 8ninfected 8nwith 8nthis 8nvirus
8nrequires 8nwhat 8ntype 8nof 8nisolation?
a. Reverse 8nisolation
b. Airborne 8nisolation
c. Contact 8nPrecautions
d. Standard
8nPrecautions 8nANSWER: 8nC
RSV 8nis 8ntransmitted 8nthrough 8ndroplets. 8nIn 8naddition 8nto 8nStandard 8nPrecautions 8nand 8nhand
8nwashing, 8nContact 8nPrecautions 8nare 8nrequired. 8nCaregivers 8nmust 8nuse 8ngloves 8nand 8ngowns
8nwhen 8nentering 8nthe 8nroom. 8nCare 8nis 8ntaken 8nnot 8nto 8ntouch 8ntheir 8nown 8neyes 8nor 8nmucous
8nmembranes 8nwith 8na 8ncontaminated 8ngloved 8nhand. 8nChildren 8nare 8nplaced 8nin 8na 8nprivate 8nroom
8nor 8nin 8na 8nroom 8nwith 8nother 8nchildren 8nwith 8nRSV 8ninfections. 8nReverse 8nisolation 8nfocuses 8non
8nkeeping 8nbacteria 8naway 8nfrom 8nthe 8ninfant. 8nWith 8nRSV, 8nother 8nchildren 8nneed 8nto 8nbe
8nprotected 8nfrom 8nexposure 8nto 8nthe 8nvirus. 8nThe 8nvirus 8nis 8nnot 8nairborne.
3. A 8nchild 8nhas 8na 8nchronic 8ncough 8nand 8ndiffuse 8nwheezing 8nduring 8nthe 8nexpiratory 8nphase 8nof
8nrespiration. 8nThis 8nsuggests 8nwhat 8ncondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign 8nbody 8nin
8ntrachea 8nANSWER: 8nA
, Pediatric 8nNursing- 8nA 8nCase-Based
Asthma 8nmay 8nhave 8nthese 8n8nchronic 8nsigns 8nand 8nsymptoms. 8nPneumonia 8nappears 8nwith 8nan 8nacute
Approach
8nonset, 8nfever, 8nand 8ngeneral 8nmalaise. 8nBronchiolitis 8nis 8nan 8nacute 8ncondition 8ncaused 8nby
8nrespiratory 8nsyncytial