Pediatric Nursing- A Case-Based Approach
tx tx tx tx tx
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
tx tx tx tx tx
, Pediatric Nursing- A Case-Based Approach tx tx tx tx tx
Chapter 1: Bronchiolitis tx t x
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. tx tx tx tx tx tx tx
b. Administer antibiotics as ordered. tx tx tx
c. Restrict oral and parenteral fluids if tachypneic.
tx tx tx tx tx tx
d. Give cool, humidified oxygen. tx tx tx tx
ANSWER: D tx
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
tx tx tx tx tx tx tx tx tx tx tx tx tx
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
degree angle and the neck slightly extended to maintain an open airway and decrease pressure o
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
n the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a sec
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
ondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic,
tx tx tx tx tx tx tx tx tx tx tx tx tx
fluids are given parenterally to prevent dehydration.
tx tx tx tx tx tx
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
tx tx tx tx tx tx tx tx tx tx tx tx
virus (RSV). The nurse knows that a child infected with this virus requires what type of isola
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
tion?
a. Reverse isolation tx
b. Airborne isolation tx
c. Contact Precautions tx
d. Standard Precautions tx t
ANSWER: C
x tx
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Cont
tx tx tx tx tx tx tx tx tx tx tx tx tx
act Precautions are required. Caregivers must use gloves and gowns when entering the
tx tx tx tx tx tx tx tx tx tx tx tx
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated glov
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
ed hand. Children are placed in a private room or in a room with other children with RSV infecti
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
ons. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other childre
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
n need to be protected from exposure to the virus. The virus is not airborne.
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
This suggests what condition?
tx tx tx
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea tx tx tx tx
ANSWER: A tx
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
tx tx tx tx tx tx tx tx tx tx tx tx tx
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
tx tx tx tx tx tx tx tx tx tx tx tx
, Pediatric Nursing- A Case-Based Approach tx tx tx tx tx
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe strid
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
or.
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory syncytial virus (RSV)? tx tx tx
a. Activity Intolerance tx
b. Decreased Cardiac Output tx tx
c. Pain, Acute tx
d. Tissue Perfusion, Ineffective (peripheral)
tx tx tx tx
ANS. A tx
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen su
tx tx tx tx tx tx tx tx tx tx tx tx tx
pply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pai
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
n is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
by this respiratory-disease process.
tx tx tx
Chapter 2: Asthma tx tx
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
suggests that the childs condition is worsening?
tx tx tx tx tx tx
a. Hypoventilation
b. Thirst
c. Bradycardia
tx tx tx tx tx
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
tx tx tx tx tx
, Pediatric Nursing- A Case-Based Approach tx tx tx tx tx
Chapter 1: Bronchiolitis tx t x
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
tx tx tx tx tx tx tx tx tx
a. Position on the side with neck slightly flexed. tx tx tx tx tx tx tx
b. Administer antibiotics as ordered. tx tx tx
c. Restrict oral and parenteral fluids if tachypneic.
tx tx tx tx tx tx
d. Give cool, humidified oxygen. tx tx tx tx
ANSWER: D tx
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
tx tx tx tx tx tx tx tx tx tx tx tx tx
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
degree angle and the neck slightly extended to maintain an open airway and decrease pressure o
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
n the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a sec
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
ondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic,
tx tx tx tx tx tx tx tx tx tx tx tx tx
fluids are given parenterally to prevent dehydration.
tx tx tx tx tx tx
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
tx tx tx tx tx tx tx tx tx tx tx tx
virus (RSV). The nurse knows that a child infected with this virus requires what type of isola
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
tion?
a. Reverse isolation tx
b. Airborne isolation tx
c. Contact Precautions tx
d. Standard Precautions tx t
ANSWER: C
x tx
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Cont
tx tx tx tx tx tx tx tx tx tx tx tx tx
act Precautions are required. Caregivers must use gloves and gowns when entering the
tx tx tx tx tx tx tx tx tx tx tx tx
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated glov
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
ed hand. Children are placed in a private room or in a room with other children with RSV infecti
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
ons. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other childre
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
n need to be protected from exposure to the virus. The virus is not airborne.
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
This suggests what condition?
tx tx tx
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea tx tx tx tx
ANSWER: A tx
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
tx tx tx tx tx tx tx tx tx tx tx tx tx
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
tx tx tx tx tx tx tx tx tx tx tx tx
, Pediatric Nursing- A Case-Based Approach tx tx tx tx tx
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe strid
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
or.
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory syncytial virus (RSV)? tx tx tx
a. Activity Intolerance tx
b. Decreased Cardiac Output tx tx
c. Pain, Acute tx
d. Tissue Perfusion, Ineffective (peripheral)
tx tx tx tx
ANS. A tx
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply a
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
tx tx tx tx tx tx tx tx tx tx tx tx tx tx tx
t usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
respiratory-disease process. tx
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen su
tx tx tx tx tx tx tx tx tx tx tx tx tx
pply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pai
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
n is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
by this respiratory-disease process.
tx tx tx
Chapter 2: Asthma tx tx
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
tx tx tx tx tx tx tx tx tx tx tx tx tx tx
suggests that the childs condition is worsening?
tx tx tx tx tx tx
a. Hypoventilation
b. Thirst
c. Bradycardia
