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

Pediatric Nursing- A Case-Based Approach


TEST BANK
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Pediatric Nursing- A Case-
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Based Approach 2nd Edition by Tagher
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,Pediatric Nursing- A Case-Based Approach

, Pediatric Nursing- A Case-Based Approach


Chapter 1: Bronchiolitis G! G !




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. G! G! G! G! G! G! G!




b. Administer antibiotics as ordered. G! G! G!



c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen G! G! G!



. ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss fr
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om tachypnea. The infant should be positioned with the head and chest elevated at a 30-
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to 40-
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degree angle and the neck slightly extended to maintain an open airway and decrease pressur
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e on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there
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is a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is ta
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chypneic, fluids are given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncyti
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al virus (RSV). The nurse knows that a child infected with this virus requires what type
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of isolation?
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a. Reverse isolation G!



b. Airborne isolation G!




c. Contact Precautions G!



d. Standard Precautions G!


ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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Contact Precautions are required. Caregivers must use gloves and gowns when entering the r
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oom. Care is taken not to touch their own eyes or mucous membranes with a contaminated g
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loved hand. Children are placed in a private room or in a room with other children with RS
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V infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, o
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ther children need to be protected from exposure to the virus. The virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respirati
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on. This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea G! G! G!



ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
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, Pediatric Nursing- A Case-Based Approach
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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