TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric bfNursing- bfA bfCase-Based
bfApproach
, Pediatric bfNursing- bfA bfCase-Based
bfApproach
Chapter bf1: b f Bronchiolitis
1. Which bfintervention bfis bfappropriate bffor bfthe bfinfant bfhospitalized bfwith bfbronchiolitis?
a. Position bfon bfthe bfside bfwith bfneck bfslightly bfflexed.
b. Administer bfantibiotics bfas bfordered.
c. Restrict bforal bfand bfparenteral bffluids bfif bftachypneic.
d. Give bfcool, bfhumidified
bfoxygen. b f ANSWER: bfD
Cool, bfhumidified bfoxygen bfis bfgiven bfto bfrelieve bfdyspnea, bfhypoxemia, bfand bfinsensible bffluid
bfloss bffrom b f tachypnea. bfThe bfinfant bfshould bfbe bfpositioned bfwith bfthe bfhead bfand bfchest
bfelevated bfat bfa bf30- bfto bf40-degree b f angle bfand bfthe bfneck bfslightly bfextended bfto bfmaintain bfan
bfopen bfairway bfand bfdecrease bfpressure bfon bfthe b f diaphragm. bfThe bfetiology bfof bfbronchiolitis
bfis bfviral. bfAntibiotics bfare bfgiven bfonly bfif bfthere bfis bfa b f secondary bfbacterial bfinfection.
bfTachypnea bfincreases bfinsensible bffluid bfloss. bfIf bfthe bfinfant bfis b f tachypneic, bffluids bfare bfgiven
bfparenterally bfto bfprevent bfdehydration.
2. An bfinfant bfwith bfbronchiolitis bfis bfhospitalized. bfThe bfcausative bforganism bfis bfrespiratory
bfsyncytial b f virus bf(RSV). bfThe bfnurse bfknows bfthat bfa bfchild bfinfected bfwith bfthis bfvirus
bfrequires bfwhat bftype bfof b f isolation?
a. Reverse bfisolation
b. Airborne bfisolation
c. Contact bfPrecautions
d. Standard
bfPrecautions b f ANSWER: bfC
RSV bfis bftransmitted bfthrough bfdroplets. bfIn bfaddition bfto bfStandard bfPrecautions bfand bfhand
bfwashing, b f Contact bfPrecautions bfare bfrequired. bfCaregivers bfmust bfuse bfgloves bfand bfgowns
bfwhen bfentering bfthe b f room. bfCare bfis bftaken bfnot bfto bftouch bftheir bfown bfeyes bfor bfmucous
bfmembranes bfwith bfa bfcontaminated b f gloved bfhand. bfChildren bfare bfplaced bfin bfa bfprivate
bfroom bfor bfin bfa bfroom bfwith bfother bfchildren bfwith bfRSV b f infections. bfReverse bfisolation
bffocuses bfon bfkeeping bfbacteria bfaway bffrom bfthe bfinfant. bfWith bfRSV, bfother b f children bfneed bfto
bfbe bfprotected bffrom bfexposure bfto bfthe bfvirus. bfThe bfvirus bfis bfnot bfairborne.
3. A bfchild bfhas bfa bfchronic bfcough bfand bfdiffuse bfwheezing bfduring bfthe bfexpiratory bfphase bfof
bfrespiration. b f This bfsuggests bfwhat bfcondition?
a. Asthma
b. Pneumonia
, Pediatric bfNursing- bfA bfCase-Based
c. Bronchiolitis bfApproach
d. Foreign bfbodybfin
bftrachea b f ANSWER: bfA
Asthma bfmaybfhave bfthese bfchronic bfsigns bfand bfsymptoms. bfPneumonia bfappears bfwith bfan
bfacute bfonset, b f fever, bfand bfgeneral bfmalaise. bfBronchiolitis bfis bfan bfacute bfcondition bf caused bfby
bfrespiratory bfsyncytial