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