TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric nzNursing- nzA nzCase-Based nzApproach nz
, Pediatric nzNursing- nzA nzCase-Based nzApproach nz
Chapter nz1: n z Bronchiolitis
1. Which nzintervention nzis nzappropriate nzfor nzthe nzinfant nzhospitalized nzwith nzbronchiolitis?
a. Position nzon nzthe nzside nzwith nzneck nzslightly nzflexed.
b. Administer nzantibiotics nzas nzordered.
c. Restrict nzoral nzand nzparenteral nzfluids nzif nztachypneic.
d. Give nzcool, nzhumidified
nzoxygen. nzANSWER: nzD
Cool, nzhumidified nzoxygen nzis nzgiven nzto nzrelieve nzdyspnea, nzhypoxemia, nzand nzinsensible nzfluid nzloss nzfrom
tachypnea. nzThe nzinfant nzshould nzbe nzpositioned nzwith nzthe nzhead nzand nzchest nzelevated nzat nza nz30-
nzto nz40-degree nzangle nzand nzthe nzneck nzslightly nzextended nzto nzmaintain nzan nzopen nzairway nzand
nzdecrease nzpressure nzon nzthe nzdiaphragm. nzThe nzetiology nzof nzbronchiolitis nzis nzviral. nzAntibiotics
nzare nzgiven nzonly nzif nzthere nzis nza nzsecondary nzbacterial nzinfection. nzTachypnea nzincreases
nzinsensible nzfluid nzloss. nzIf nzthe nzinfant nzis nztachypneic, nzfluids nzare nzgiven nzparenterally nzto
nzprevent nzdehydration.
2. An nzinfant nzwith nzbronchiolitis nzis nzhospitalized. nzThe nzcausative nzorganism nzis nzrespiratory
nzsyncytial nzvirus nz(RSV). nzThe nznurse nzknows nzthat nza nzchild nzinfected nzwith nzthis nzvirus
nzrequires nzwhat nztype nzof nzisolation?
a. Reverse nzisolation
b. Airborne nzisolation
c. Contact nzPrecautions
d. Standard
nzPrecautions nzANSWER: nzC
RSV nzis nztransmitted nzthrough nzdroplets. nzIn nzaddition nzto nzStandard nzPrecautions nzand nzhand
nzwashing, nzContact nzPrecautions nzare nzrequired. nzCaregivers nzmust nzuse nzgloves nzand nzgowns
nzwhen nzentering nzthe
room. nzCare nzis nztaken nznot nzto nztouch nztheir nzown nzeyes nzor nzmucous nzmembranes nzwith nza
nzcontaminated nzgloved nzhand. nzChildren nzare nzplaced nzin nza nzprivate nzroom nzor nzin nza nzroom nzwith
nzother nzchildren nzwith nzRSV nzinfections. nzReverse nzisolation nzfocuses nzon nzkeeping nzbacteria
nzaway nzfrom nzthe nzinfant. nzWith nzRSV, nzother nzchildren nzneed nzto nzbe nzprotected nzfrom nzexposure
nzto nzthe nzvirus. nzThe nzvirus nzis nznot nzairborne.
3. A nzchild nzhas nza nzchronic nzcough nzand nzdiffuse nzwheezing nzduring nzthe nzexpiratory nzphase nzof
nzrespiration. nzThis nzsuggests nzwhat nzcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign nzbody nzin
, Pediatric nzNursing- nzA nzCase-Based nzApproach nz
trachea nzANSWER: nzA
nz
Asthma nzmay nzhave nzthese nzchronic nzsigns nzand nzsymptoms. nzPneumonia nzappears nzwith nzan nzacute nzonset,
fever, nzand nzgeneral nzmalaise. nzBronchiolitis nzis nzan nzacute nzcondition nzcaused nzby nzrespiratory nzsyncytial