Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
TEST BANK v
PEDIATRIC NURSING, A CASE- v v v
v BASED APPROACH, 2ND EDITION
v v v
BYTAGHER KNAPP
v v v
, Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
Chapter v1: vBronchiolitis
1. Which vintervention vis vappropriate vfor vthe vinfant vhospitalized vwith vbronchiolitis?
a. Position von vthe vside vwith vneck vslightly vflexed.
b. Administer vantibiotics vas vordered.
c. Restrict voral vand vparenteral vfluids vif vtachypneic.
d. Give vcool, vhumidified voxygen. vANS: vD
Cool, vhumidified voxygen vis vgiven vto vrelieve vdyspnea, vhypoxemia, vand vinsensible vfluid vloss vfrom
tachypnea. vThe vinfant vshould vbe vpositioned vwith vthe vhead vand vchest velevated vat va v30- vto v40-degree
vangle vand vthe vneck vslightly vextended vto vmaintain van vopen vairway vand vdecrease vpressure von vthe
vdiaphragm. vThe vetiology vof vbronchiolitis vis vviral. vAntibiotics vare vgiven vonly vif vthere vis va vsecondary
vbacterial vinfection. vTachypnea vincreases vinsensible vfluid vloss. vIf vthe vinfant vis vtachypneic, vfluids vare
vgivenvparenterally vto vprevent vdehydration.
2. An vinfant vwith vbronchiolitis vis vhospitalized. vThe vcausative vorganism vis vrespiratory vsyncytial
vvirusv(RSV). vThe vnurse vknows vthat va vchild vinfected vwith vthis vvirus vrequires vwhat vtype vof visolation?
a. Reverse visolation
b. Airborne visolation
c. Contact vPrecautions
d. Standard vPrecautions vANS: vC
RSV vis vtransmitted vthrough vdroplets. vIn vaddition vto vStandard vPrecautions vand vhand vwashing,
Contact vPrecautions vare vrequired. vCaregivers vmust vuse vgloves vand vgowns vwhen ventering vthe vroom.
vCarevis vtaken vnot vto vtouch vtheir vown veyes vor vmucous vmembranes vwith va vcontaminated vgloved vhand.
vChildren vare vplaced vin va vprivate vroom vor vin va vroom vwith vother vchildren vwith vRSV vinfections. vReverse
visolation
, Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
focuses von vkeeping vbacteria vaway vfrom vthe vinfant. vWith vRSV, vother vchildren vneed vto vbe vprotected
vfromvexposure vto vthe vvirus. vThe vvirus vis vnot vairborne.
3. A vchild vhas va vchronic vcough vand vdiffuse vwheezing vduring vthe vexpiratory vphase vof vrespiration.
vThisvsuggests vwhat vcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign vbody vin vtrachea vANS: vA
Asthma vmay vhave vthese vchronic vsigns vand vsymptoms. vPneumonia vappears vwith van vacute
v onset,vfever, vand vgeneral vmalaise. vBronchiolitis vis van vacute vcondition vcaused vby vrespiratory
v syncytial
virus. vForeign vbody vin vthe vtrachea voccurs vwith vacute vrespiratory vdistress vor vfailure vand vmaybe vstridor.
4. Which vnursing vdiagnosis vis vmost vappropriate vfor van vinfant vwith vacute vbronchiolitis vdue
vtovrespiratory vsyncytial vvirus v(RSV)?
a. Activity vIntolerance
b. Decreased vCardiac vOutput
c. Pain, vAcute
d. Tissue vPerfusion, vIneffective v(peripheral) vANS. vA
Rationale v1: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Rationale v2: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
, Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
Rationale v3: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Rationale v4: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Global vRationale: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vandvdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis vnot
vusually vassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Chapter v2: vAsthma
1. The vnurse vis vcaring vfor va vchild vhospitalized vfor vstatus vasthmaticus. vWhich vassessment
vfindingvsuggests vthat vthe vchilds vcondition vis vworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing vANS: vA
The vnurse vwould vassess vthe vchild vfor vsigns vof vhypoxia, vincluding vrestlessness, vfatigue, virritability, vand
vincreased vheart vand vrespiratory vrate. vAs vthe vchild vtires vfrom vthe vincreased vwork vof vbreathing
vhypoventilation voccurs vleading vto vincreased vcarbon vdioxide vlevels. vThe vnurse vwould vbe valert vfor vsigns vof
vKnapp
TEST BANK v
PEDIATRIC NURSING, A CASE- v v v
v BASED APPROACH, 2ND EDITION
v v v
BYTAGHER KNAPP
v v v
, Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
Chapter v1: vBronchiolitis
1. Which vintervention vis vappropriate vfor vthe vinfant vhospitalized vwith vbronchiolitis?
a. Position von vthe vside vwith vneck vslightly vflexed.
b. Administer vantibiotics vas vordered.
c. Restrict voral vand vparenteral vfluids vif vtachypneic.
d. Give vcool, vhumidified voxygen. vANS: vD
Cool, vhumidified voxygen vis vgiven vto vrelieve vdyspnea, vhypoxemia, vand vinsensible vfluid vloss vfrom
tachypnea. vThe vinfant vshould vbe vpositioned vwith vthe vhead vand vchest velevated vat va v30- vto v40-degree
vangle vand vthe vneck vslightly vextended vto vmaintain van vopen vairway vand vdecrease vpressure von vthe
vdiaphragm. vThe vetiology vof vbronchiolitis vis vviral. vAntibiotics vare vgiven vonly vif vthere vis va vsecondary
vbacterial vinfection. vTachypnea vincreases vinsensible vfluid vloss. vIf vthe vinfant vis vtachypneic, vfluids vare
vgivenvparenterally vto vprevent vdehydration.
2. An vinfant vwith vbronchiolitis vis vhospitalized. vThe vcausative vorganism vis vrespiratory vsyncytial
vvirusv(RSV). vThe vnurse vknows vthat va vchild vinfected vwith vthis vvirus vrequires vwhat vtype vof visolation?
a. Reverse visolation
b. Airborne visolation
c. Contact vPrecautions
d. Standard vPrecautions vANS: vC
RSV vis vtransmitted vthrough vdroplets. vIn vaddition vto vStandard vPrecautions vand vhand vwashing,
Contact vPrecautions vare vrequired. vCaregivers vmust vuse vgloves vand vgowns vwhen ventering vthe vroom.
vCarevis vtaken vnot vto vtouch vtheir vown veyes vor vmucous vmembranes vwith va vcontaminated vgloved vhand.
vChildren vare vplaced vin va vprivate vroom vor vin va vroom vwith vother vchildren vwith vRSV vinfections. vReverse
visolation
, Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
focuses von vkeeping vbacteria vaway vfrom vthe vinfant. vWith vRSV, vother vchildren vneed vto vbe vprotected
vfromvexposure vto vthe vvirus. vThe vvirus vis vnot vairborne.
3. A vchild vhas va vchronic vcough vand vdiffuse vwheezing vduring vthe vexpiratory vphase vof vrespiration.
vThisvsuggests vwhat vcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign vbody vin vtrachea vANS: vA
Asthma vmay vhave vthese vchronic vsigns vand vsymptoms. vPneumonia vappears vwith van vacute
v onset,vfever, vand vgeneral vmalaise. vBronchiolitis vis van vacute vcondition vcaused vby vrespiratory
v syncytial
virus. vForeign vbody vin vthe vtrachea voccurs vwith vacute vrespiratory vdistress vor vfailure vand vmaybe vstridor.
4. Which vnursing vdiagnosis vis vmost vappropriate vfor van vinfant vwith vacute vbronchiolitis vdue
vtovrespiratory vsyncytial vvirus v(RSV)?
a. Activity vIntolerance
b. Decreased vCardiac vOutput
c. Pain, vAcute
d. Tissue vPerfusion, vIneffective v(peripheral) vANS. vA
Rationale v1: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Rationale v2: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
, Pediatric vNursing, vA vCase-Based vApproach, v2nd vEdition vBy vTagher
vKnapp
Rationale v3: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Rationale v4: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vand vdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis
vnot vusuallyvassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Global vRationale: vActivity vintolerance vis va vproblem vbecause vof vthe vimbalance vbetween voxygen vsupply
vandvdemand. vCardiac voutput vis vnot vcompromised vduring van vacute vphase vof vbronchiolitis. vPain vis vnot
vusually vassociated vwith vacute vbronchiolitis. vTissue vperfusion v(peripheral) vis vnot vaffected vby vthis
vrespiratory- vdisease vprocess.
Chapter v2: vAsthma
1. The vnurse vis vcaring vfor va vchild vhospitalized vfor vstatus vasthmaticus. vWhich vassessment
vfindingvsuggests vthat vthe vchilds vcondition vis vworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing vANS: vA
The vnurse vwould vassess vthe vchild vfor vsigns vof vhypoxia, vincluding vrestlessness, vfatigue, virritability, vand
vincreased vheart vand vrespiratory vrate. vAs vthe vchild vtires vfrom vthe vincreased vwork vof vbreathing
vhypoventilation voccurs vleading vto vincreased vcarbon vdioxide vlevels. vThe vnurse vwould vbe valert vfor vsigns vof
