TEST BANK Pediatric Nursing, A CaseBased Approach,1st Edition By Tagher Knapp

PediatricnNursing,nAnCase-BasednApproach,n1stnEditionnBynTaghernKnapp




TEST BANK n




Pediatric Nursing, A Case-
n n n




n Based Approach, 1st Edition ByT
n n n n n




agher Knapp n

, PediatricnNursing,nAnCase-BasednApproach,n1stnEditionnBynTaghernKnapp


Chaptern1:nBronchiolitis



1. Whichninterventionnisnappropriatenforntheninfantnhospitalizednwithnbronchiolitis?



a. Positionnonnthensidenwithnnecknslightlynflexed.

b. Administernantibioticsnasnordered.



c. Restrictnoralnandnparenteralnfluidsnifntachypneic.

d. Givencool,nhumidifiednoxygen.nANS:nD

Cool,nhumidifiednoxygennisngivenntonrelievendyspnea,nhypoxemia,nandninsensiblenfluidnlossnfrom

tachypnea.nTheninfantnshouldnbenpositionednwithnthenheadnandnchestnelevatednatnan30-nton40-
degreenanglenandnthennecknslightlynextendedntonmaintainnannopennairwaynandndecreasenpressurenonnthe
ndiaphragm.nThenetiologynofnbronchiolitisnisnviral.nAntibioticsnarengivennonlynifntherenisnansecondarynbact


erialninfection.nTachypneanincreasesninsensiblenfluidnloss.nIfntheninfantnisntachypneic,nfluidsnarengivennpar
enterallyntonpreventndehydration.



2. Anninfantnwithnbronchiolitisnisnhospitalized.nThencausativenorganismnisnrespiratorynsyncytialnviru
sn(RSV).nThennursenknowsnthatnanchildninfectednwithnthisnvirusnrequiresnwhatntypenofnisolation?



a. Reversenisolation

b. Airbornenisolation



c. ContactnPrecautions

d. StandardnPrecautionsnANS:nC

RSVnisntransmittednthroughndroplets.nInnadditionntonStandardnPrecautionsnandnhandnwashing,

ContactnPrecautionsnarenrequired.nCaregiversnmustnusenglovesnandngownsnwhennenteringnthenroom.nCar
enisntakennnotntontouchntheirnownneyesnornmucousnmembranesnwithnancontaminatednglovednhand.nChildr
ennarenplacedninnanprivatenroomnorninnanroomnwithnothernchildrennwithnRSVninfections.nReversenisolation

, PediatricnNursing,nAnCase-BasednApproach,n1stnEditionnBynTaghernKnapp


focusesnonnkeepingnbacterianawaynfromntheninfant.nWithnRSV,nothernchildrennneedntonbenprotectednfro
mnexposurentonthenvirus.nThenvirusnisnnotnairborne.



3. Anchildnhasnanchronicncoughnandndiffusenwheezingnduringnthenexpiratorynphasenofnrespiration.nThi
snsuggestsnwhatncondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignnbodyninntracheanANS:nA

Asthmanmaynhaventhesenchronicnsignsnandnsymptoms.nPneumonianappearsnwithnannacutenonset

,nfever,nandngeneralnmalaise.nBronchiolitisnisnannacutenconditionncausednbynrespiratorynsyncytial



virus.nForeignnbodyninnthentracheanoccursnwithnacutenrespiratoryndistressnornfailurenandnmaybenstridor.

4. Whichnnursingndiagnosisnisnmostnappropriatenfornanninfantnwithnacutenbronchiolitisnduent
onrespiratorynsyncytialnvirusn(RSV)?

a. ActivitynIntolerance

b. DecreasednCardiacnOutput

c. Pain,nAcute

d. TissuenPerfusion,nIneffectiven(peripheral)nANS.nA

Rationalen1:nActivitynintolerancenisnanproblemnbecausenofnthenimbalancenbetweennoxygennsupplynandnd
emand.nCardiacnoutputnisnnotncompromisednduringnannacutenphasenofnbronchiolitis.nPainnisnnotnusuallyn
associatednwithnacutenbronchiolitis.nTissuenperfusionn(peripheral)nisnnotnaffectednbynthisnrespiratory-
ndiseasenprocess.




Rationalen2:nActivitynintolerancenisnanproblemnbecausenofnthenimbalancenbetweennoxygennsupplynandnd
emand.nCardiacnoutputnisnnotncompromisednduringnannacutenphasenofnbronchiolitis.nPainnisnnotnusuallyn
associatednwithnacutenbronchiolitis.nTissuenperfusionn(peripheral)nisnnotnaffectednbynthisnrespiratory-
ndiseasenprocess.

, PediatricnNursing,nAnCase-BasednApproach,n1stnEditionnBynTaghernKnapp


Rationalen3:nActivitynintolerancenisnanproblemnbecausenofnthenimbalancenbetweennoxygennsupplynandnd
emand.nCardiacnoutputnisnnotncompromisednduringnannacutenphasenofnbronchiolitis.nPainnisnnotnusuallyn
associatednwithnacutenbronchiolitis.nTissuenperfusionn(peripheral)nisnnotnaffectednbynthisnrespiratory-
ndiseasenprocess.




Rationalen4:nActivitynintolerancenisnanproblemnbecausenofnthenimbalancenbetweennoxygennsupplynandnd
emand.nCardiacnoutputnisnnotncompromisednduringnannacutenphasenofnbronchiolitis.nPainnisnnotnusuallyn
associatednwithnacutenbronchiolitis.nTissuenperfusionn(peripheral)nisnnotnaffectednbynthisnrespiratory-
ndiseasenprocess.




GlobalnRationale:nActivitynintolerancenisnanproblemnbecausenofnthenimbalancenbetweennoxygennsupplynan
dndemand.nCardiacnoutputnisnnotncompromisednduringnannacutenphasenofnbronchiolitis.nPainnisnnotnusuallyn
associatednwithnacutenbronchiolitis.nTissuenperfusionn(peripheral)nisnnotnaffectednbynthisnrespiratory-
ndiseasenprocess.




Chaptern2:nAsthma



1. Thennursenisncaringnfornanchildnhospitalizednfornstatusnasthmaticus.nWhichnassessmentnfindin
gnsuggestsnthatnthenchildsnconditionnisnworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingnANS:nA



Thennursenwouldnassessnthenchildnfornsignsnofnhypoxia,nincludingnrestlessness,nfatigue,nirritability,nandnincre
asednheartnandnrespiratorynrate.nAsnthenchildntiresnfromnthenincreasednworknofnbreathingnhypoventilationno
ccursnleadingntonincreasedncarbonndioxidenlevels.nThennursenwouldnbenalertnfornsignsnof