Pediatric Nursing- A Case-Based Approach
ws ws ws ws
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
Chapter 1: Bronchiolitis
ws w s
, Pediatric Nursing- A Case-Based Approach ws ws ws ws
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
ws ws ws ws ws ws ws ws ws
a. Position on the side with neck slightly flexed. ws ws ws ws ws ws ws
b. Administer antibiotics as ordered. ws ws ws
c. Restrict oral and parenteral fluids if tachypneic. ws ws ws ws ws ws
d. Give cool, humidified ws ws ws
oxygen. ANSWER: D ws ws
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from tac
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
hypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
degree angle and the neck slightly extended to maintain an open airway and decrease pressure on th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
given parenterally to prevent dehydration.
ws ws ws ws
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncyt
ws ws ws ws ws ws ws ws ws ws ws
ial virus (RSV). The nurse knows that a child infected with this virus requires what type of is
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
olation?
a. Reverse isolation ws
b. Airborne isolation ws
c. Contact Precautions ws
d. Standard Preca ws
utions ANSWER: C ws ws
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Cont
ws ws ws ws ws ws ws ws ws ws ws ws ws
act Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
ws ws ws ws ws ws ws ws ws ws ws ws ws ws w
is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Chil
s ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
dren are placed in a private room or in a room with other children with RSV infections. Reverse is
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
olation focuses on keeping bacteria away from the infant. With RSV, other children need to be prot
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ected from exposure to the virus. The virus is not airborne.
ws ws ws ws ws ws ws ws ws ws
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of re
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
spiration. This suggests what condition? ws ws ws ws
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in ws ws
, Pediatric Nursing- A Case-Based Approach
ws ws ws ws
trachea ANSWER: A
ws ws
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ws ws ws ws ws ws ws ws ws ws ws ws
, Pediatric Nursing- A Case-Based Approach ws ws ws ws
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
ws ws ws ws ws ws ws ws ws ws ws ws ws w
respiratory syncytial virus (RSV)?
s ws ws ws
a. Activity Intolerance ws
b. Decreased Cardiac Output ws ws
c. Pain, Acute ws
d. Tissue Perfusion, Ineffective ws ws ws
(peripheral) ANS. A ws ws
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen sup
ws ws ws ws ws ws ws ws ws ws ws ws ws
ply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
respiratory-disease process. ws
Chapter 2: Asthma ws ws
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment fi
ws ws ws ws ws ws ws ws ws ws ws ws ws
nding suggests that the childs condition is worsening?
ws ws ws ws ws ws ws
a. Hypoventilation
b. Thirst
ws ws ws ws
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
Chapter 1: Bronchiolitis
ws w s
, Pediatric Nursing- A Case-Based Approach ws ws ws ws
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
ws ws ws ws ws ws ws ws ws
a. Position on the side with neck slightly flexed. ws ws ws ws ws ws ws
b. Administer antibiotics as ordered. ws ws ws
c. Restrict oral and parenteral fluids if tachypneic. ws ws ws ws ws ws
d. Give cool, humidified ws ws ws
oxygen. ANSWER: D ws ws
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from tac
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
hypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
degree angle and the neck slightly extended to maintain an open airway and decrease pressure on th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
given parenterally to prevent dehydration.
ws ws ws ws
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncyt
ws ws ws ws ws ws ws ws ws ws ws
ial virus (RSV). The nurse knows that a child infected with this virus requires what type of is
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
olation?
a. Reverse isolation ws
b. Airborne isolation ws
c. Contact Precautions ws
d. Standard Preca ws
utions ANSWER: C ws ws
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Cont
ws ws ws ws ws ws ws ws ws ws ws ws ws
act Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
ws ws ws ws ws ws ws ws ws ws ws ws ws ws w
is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Chil
s ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
dren are placed in a private room or in a room with other children with RSV infections. Reverse is
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
olation focuses on keeping bacteria away from the infant. With RSV, other children need to be prot
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ected from exposure to the virus. The virus is not airborne.
ws ws ws ws ws ws ws ws ws ws
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of re
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
spiration. This suggests what condition? ws ws ws ws
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in ws ws
, Pediatric Nursing- A Case-Based Approach
ws ws ws ws
trachea ANSWER: A
ws ws
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ws ws ws ws ws ws ws ws ws ws ws ws
, Pediatric Nursing- A Case-Based Approach ws ws ws ws
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
ws ws ws ws ws ws ws ws ws ws ws ws ws w
respiratory syncytial virus (RSV)?
s ws ws ws
a. Activity Intolerance ws
b. Decreased Cardiac Output ws ws
c. Pain, Acute ws
d. Tissue Perfusion, Ineffective ws ws ws
(peripheral) ANS. A ws ws
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply an
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
ws ws ws ws ws ws ws ws ws ws ws ws ws
atory-disease process. ws
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen sup
ws ws ws ws ws ws ws ws ws ws ws ws ws
ply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
respiratory-disease process. ws
Chapter 2: Asthma ws ws
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment fi
ws ws ws ws ws ws ws ws ws ws ws ws ws
nding suggests that the childs condition is worsening?
ws ws ws ws ws ws ws
a. Hypoventilation
b. Thirst
