Test Bank For Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,Chapter 1: Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypneic.
d. Give cool, humidified oxygen.
ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
tachypneic, fluids are given parenterally to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncyti
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al virus (RSV). The nurse knows that a child infected with this virus requires what type
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of isolation?
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a. Reverse isolation gk
b. Airborne isolation gk
c. Contact Precautions gk
d. Standard Precautions gk
gkANSWER: C gk
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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Contact Precautions are required. Caregivers must use gloves and gowns when entering the
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room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
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gloved hand. Children are placed in a private room or in a room with other children with RS
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V infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV,
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other children need to be protected from exposure to the virus. The virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respirati
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on. This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea gk gk gk
ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
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, k fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,Chapter 1: Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypneic.
d. Give cool, humidified oxygen.
ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
tachypneic, fluids are given parenterally to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncyti
gk gk gk gk gk gk gk gk gk gk gk
al virus (RSV). The nurse knows that a child infected with this virus requires what type
g k gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk
of isolation?
g k
a. Reverse isolation gk
b. Airborne isolation gk
c. Contact Precautions gk
d. Standard Precautions gk
gkANSWER: C gk
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
gk gk gk gk gk gk gk gk gk gk gk gk g k
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
gk gk gk gk gk gk gk gk gk gk gk gk g k
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk g k
gloved hand. Children are placed in a private room or in a room with other children with RS
gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk
V infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV,
g k gk gk gk gk gk gk gk gk gk gk gk gk g
other children need to be protected from exposure to the virus. The virus is not airborne.
k g k gk gk gk gk gk gk gk gk gk gk gk gk gk gk
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respirati
gk gk gk gk gk gk gk gk gk gk gk gk gk gk
on. This suggests what condition?
g k gk gk gk
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea gk gk gk
ANSWER: A
gk gk
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
gk gk gk gk gk gk gk gk gk gk gk gk gk g
, k fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
gk gk gk gk gk gk gk gk gk gk gk gk
