TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
Test Bank For Pediatric Nursing- A Case-Based Approach
r r r r r r r
2nd Edition by Tagher Knapp
r r r r
Chapters 1 - 34 | All Chapters
r r r r r r
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, TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
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, TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
Chapter r1: r Bronchiolitis
1. Which r intervention r is rappropriate r for r the r infant r hospitalized rwith r bronchiolitis?
a. Position ron rthe rside rwith rneck rslightly rflexed.
b. Administer r antibiotics r as rordered.
c. Restrict r oral rand r parenteral rfluids rif rtachypneic.
d. Givercool, rhumidified
roxygen. rANSWER: rD
Cool, rhumidified roxygen ris rgiven rto rrelieve rdyspnea, rhypoxemia, r and rinsensible r fluid r loss rfrom
tachypnea. r The r infant r should rbe r positioned r with rthe r head rand r chest r elevated r at r a r30- rto r 40-degree
rangle r and r the r neck r slightly r extended r to r maintain r an r open r airway r and r decrease r pressure r on rthe
rdiaphragm. r The r etiology r of rbronchiolitis r is r viral. r Antibiotics r are r given ronly r if r there r is r a rsecondary
rbacterial r infection. r Tachypnea r increases rinsensible r fluid r loss. r If r the r infant r is r tachypneic, r fluids
r arergiven rparenterally rto rprevent rdehydration.
2. An rinfant r with rbronchiolitis ris rhospitalized. r The rcausative r organism ris rrespiratory
rsyncytialrvirus r (RSV). rThe r nurse r knows rthat r a r child r infected r with r this r virus rrequires r what
r type r of risolation?
a. Reverse risolation
b. Airborne risolation
c. Contact rPrecautions
d. Standard
rPrecautions rANSWER: rC
RSV ris rtransmitted rthrough rdroplets. r In r addition rto rStandard rPrecautions r and r hand r washing,
rContact rPrecautions rare rrequired. rCaregivers rmust ruse rgloves rand rgowns rwhen rentering rthe
rroom.rC are r is r taken r not r to r touch rtheir r own r eyes r or r mucous r membranes r with r a r contaminated
r gloved r hand. rC hildren rare rplaced r in ra rprivate rroom ror rin ra rroom rwith rother rchildren rwith rRSV
r infections.
Reverse r isolation r focuses r on rkeeping r bacteria raway r from rthe r infant. r With rRSV, r other r children
r needrt o r be rprotected rfrom rexposure rto rthe rvirus. rThe rvirus r is rnot rairborne.
3. A rchild r has r a r chronic r cough r and r diffuse r wheezing r during rthe r expiratory rphase r of
r respiration. rThis rsuggests rwhat rcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign rbody rin
rtrachea rANSWER: r A
Asthma r may rhave r these r chronic r signs r and r symptoms. r Pneumonia r appears r with r an r acute r onset,
r fever, rand rgeneral r malaise. r Bronchiolitis ris ran racute rcondition r caused r by rrespiratory rsyncytial
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, TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
virus. r Foreign r body rin rthe rtrachea r occurs r with racute r respiratory rdistress r or rfailure r and r maybe r stridor.
4. Which rnursing rdiagnosis ris rmost rappropriate rfor ran rinfant rwith racute rbronchiolitis rdue
rtorrespiratory rsyncytial rvirus r(RSV)?
a. Activity rIntolerance
b. Decreased rCardiac rOutput
c. Pain, rAcute
d. Tissue rPerfusion, rIneffective
r(peripheral) rANS. rA
Rationale r1: rActivity rintolerance ris ra rproblem rbecause rof rthe rimbalance rbetween roxygen rsupply
randrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Rationale r 2: r Activity rintolerance r is ra r problem rbecause r of rthe r imbalance rbetween roxygen rsupply
r andrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Rationale r 3: r Activity rintolerance r is ra r problem r because r of rthe r imbalance rbetween r oxygen r supply
r andrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Rationale r 4: r Activity rintolerance r is ra r problem rbecause r of rthe r imbalance rbetween roxygen rsupply
r andrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Global rRationale: rActivity rintolerance ris ra rproblem rbecause rof rthe rimbalance rbetween roxygen
rsupply rand rdemand. rCardiac r output r is rnot rcompromised r during ran racute rphase rof r bronchiolitis.
rPain r is rnot r usually r associated r with r acute rbronchiolitis. r Tissue r perfusion r (peripheral) r is r not
r affected rb y rthis rrespiratory-disease rprocess.
Chapter r2: rAsthma
1. The rnurse ris rcaring r for ra rchild r hospitalized r for r status rasthmaticus. r Which r assessment
r finding rs uggests rthat rthe rchilds rcondition ris rworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
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r r r r r r r r r r
Test Bank For Pediatric Nursing- A Case-Based Approach
r r r r r r r
2nd Edition by Tagher Knapp
r r r r
Chapters 1 - 34 | All Chapters
r r r r r r
about:blank 1/55
, TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
about:blank 2/55
, TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
Chapter r1: r Bronchiolitis
1. Which r intervention r is rappropriate r for r the r infant r hospitalized rwith r bronchiolitis?
a. Position ron rthe rside rwith rneck rslightly rflexed.
b. Administer r antibiotics r as rordered.
c. Restrict r oral rand r parenteral rfluids rif rtachypneic.
d. Givercool, rhumidified
roxygen. rANSWER: rD
Cool, rhumidified roxygen ris rgiven rto rrelieve rdyspnea, rhypoxemia, r and rinsensible r fluid r loss rfrom
tachypnea. r The r infant r should rbe r positioned r with rthe r head rand r chest r elevated r at r a r30- rto r 40-degree
rangle r and r the r neck r slightly r extended r to r maintain r an r open r airway r and r decrease r pressure r on rthe
rdiaphragm. r The r etiology r of rbronchiolitis r is r viral. r Antibiotics r are r given ronly r if r there r is r a rsecondary
rbacterial r infection. r Tachypnea r increases rinsensible r fluid r loss. r If r the r infant r is r tachypneic, r fluids
r arergiven rparenterally rto rprevent rdehydration.
2. An rinfant r with rbronchiolitis ris rhospitalized. r The rcausative r organism ris rrespiratory
rsyncytialrvirus r (RSV). rThe r nurse r knows rthat r a r child r infected r with r this r virus rrequires r what
r type r of risolation?
a. Reverse risolation
b. Airborne risolation
c. Contact rPrecautions
d. Standard
rPrecautions rANSWER: rC
RSV ris rtransmitted rthrough rdroplets. r In r addition rto rStandard rPrecautions r and r hand r washing,
rContact rPrecautions rare rrequired. rCaregivers rmust ruse rgloves rand rgowns rwhen rentering rthe
rroom.rC are r is r taken r not r to r touch rtheir r own r eyes r or r mucous r membranes r with r a r contaminated
r gloved r hand. rC hildren rare rplaced r in ra rprivate rroom ror rin ra rroom rwith rother rchildren rwith rRSV
r infections.
Reverse r isolation r focuses r on rkeeping r bacteria raway r from rthe r infant. r With rRSV, r other r children
r needrt o r be rprotected rfrom rexposure rto rthe rvirus. rThe rvirus r is rnot rairborne.
3. A rchild r has r a r chronic r cough r and r diffuse r wheezing r during rthe r expiratory rphase r of
r respiration. rThis rsuggests rwhat rcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign rbody rin
rtrachea rANSWER: r A
Asthma r may rhave r these r chronic r signs r and r symptoms. r Pneumonia r appears r with r an r acute r onset,
r fever, rand rgeneral r malaise. r Bronchiolitis ris ran racute rcondition r caused r by rrespiratory rsyncytial
about:blank 3/55
, TEST BANK For Pediatric Nursing- A Case-Based Approach, 2nd Edition by…
r r r r r r r r r r
virus. r Foreign r body rin rthe rtrachea r occurs r with racute r respiratory rdistress r or rfailure r and r maybe r stridor.
4. Which rnursing rdiagnosis ris rmost rappropriate rfor ran rinfant rwith racute rbronchiolitis rdue
rtorrespiratory rsyncytial rvirus r(RSV)?
a. Activity rIntolerance
b. Decreased rCardiac rOutput
c. Pain, rAcute
d. Tissue rPerfusion, rIneffective
r(peripheral) rANS. rA
Rationale r1: rActivity rintolerance ris ra rproblem rbecause rof rthe rimbalance rbetween roxygen rsupply
randrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Rationale r 2: r Activity rintolerance r is ra r problem rbecause r of rthe r imbalance rbetween roxygen rsupply
r andrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Rationale r 3: r Activity rintolerance r is ra r problem r because r of rthe r imbalance rbetween r oxygen r supply
r andrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Rationale r 4: r Activity rintolerance r is ra r problem rbecause r of rthe r imbalance rbetween roxygen rsupply
r andrdemand. rCardiac routput ris rnot rcompromised rduring ran racute rphase rof rbronchiolitis. rPain ris
rnot rusually rassociated r with r acute r bronchiolitis. r Tissue r perfusion r (peripheral) r is r not r affected r by r this
rrespiratory-disease rprocess.
Global rRationale: rActivity rintolerance ris ra rproblem rbecause rof rthe rimbalance rbetween roxygen
rsupply rand rdemand. rCardiac r output r is rnot rcompromised r during ran racute rphase rof r bronchiolitis.
rPain r is rnot r usually r associated r with r acute rbronchiolitis. r Tissue r perfusion r (peripheral) r is r not
r affected rb y rthis rrespiratory-disease rprocess.
Chapter r2: rAsthma
1. The rnurse ris rcaring r for ra rchild r hospitalized r for r status rasthmaticus. r Which r assessment
r finding rs uggests rthat rthe rchilds rcondition ris rworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
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