Pediatric Nursing- A Case-Based Approach TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters

Pediatric Nursing- A Case-Based Approach



TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters

,Pediatric Nursing- A Case-Based Approach

, Pediatric Nursing- A Case-Based Approach gk gk gk gk




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?
gk




a. Reverse isolation gk



b. Airborne isolation gk




c. Contact Precautions gk



d. Standard Precaution gk



s ANSWER: C
gk 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



kContact 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 room. Care is taken not to touch their own eyes or mucous membranes with a contamina
k gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk



ted gloved hand. Children are placed in a private room or in a room with other children wi
g k gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk



th RSV infections. Reverse isolation focuses on keeping bacteria away from the infant. With
gk g k gk gk gk gk gk gk gk gk gk gk gk gk



RSV, other children need to be protected from exposure to the virus. The virus is not airbo
gk g k gk gk gk gk gk gk gk gk gk gk gk gk gk gk



rne.

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

, Pediatric Nursing- A Case-Based Approach
gk gk gk gk


d. Foreign body in trache
gk gk gk



a ANSWER: A
gk gk



Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onse
gk gk gk gk gk gk gk gk gk gk gk gk gk



t, fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncyti
g k gk gk gk gk gk gk gk gk gk gk gk gk



al