Test Bank for Pediatric Nursing: A Case-Based Approach, 1st Edition Chapters 1-34 | Complete Guide A+

PediatricrNursing,rArCase-BasedrApproach,r1strEditionrByrTagherrKnapp




TEST BANK r




Pediatric Nursing, A Case-
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r Based Approach, 1st Edition ByT
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agher Knapp r

, PediatricrNursing,rArCase-BasedrApproach,r1strEditionrByrTagherrKnapp


Chapterr1:rBronchiolitis



1. Whichrinterventionrisrappropriaterforrtherinfantrhospitalizedrwithrbronchiolitis?



a. Positionronrthersiderwithrneckrslightlyrflexed.

b. Administerrantibioticsrasrordered.



c. Restrictroralrandrparenteralrfluidsrifrtachypneic.

d. Givercool,rhumidifiedroxygen.rANS:rD

Cool,rhumidifiedroxygenrisrgivenrtorrelieverdyspnea,rhypoxemia,randrinsensiblerfluidrlossrfrom

tachypnea.rTherinfantrshouldrberpositionedrwithrtherheadrandrchestrelevatedratrar30-rtor40-
degreeranglerandrtherneckrslightlyrextendedrtormaintainranropenrairwayrandrdecreaserpressureronrtherdi
aphragm.rTheretiologyrofrbronchiolitisrisrviral.rAntibioticsrarergivenronlyrifrthererisrarsecondaryrbacterialrin
fection.rTachypnearincreasesrinsensiblerfluidrloss.rIfrtherinfantrisrtachypneic,rfluidsrarergivenrparenterallyrt
orpreventrdehydration.



2. Anrinfantrwithrbronchiolitisrisrhospitalized.rThercausativerorganismrisrrespiratoryrsyncytialrvirusr(R
SV).rThernurserknowsrthatrarchildrinfectedrwithrthisrvirusrrequiresrwhatrtyperofrisolation?



a. Reverserisolation

b. Airbornerisolation



c. ContactrPrecautions

d. StandardrPrecautionsrANS:rC

RSVrisrtransmittedrthroughrdroplets.rInradditionrtorStandardrPrecautionsrandrhandrwashing,

ContactrPrecautionsrarerrequired.rCaregiversrmustruserglovesrandrgownsrwhenrenteringrtherroom.rCarerisr
takenrnotrtortouchrtheirrownreyesrorrmucousrmembranesrwithrarcontaminatedrglovedrhand.rChildrenrarer
placedrinrarprivaterroomrorrinrarroomrwithrotherrchildrenrwithrRSVrinfections.rReverserisolation

, PediatricrNursing,rArCase-BasedrApproach,r1strEditionrByrTagherrKnapp


focusesronrkeepingrbacteriarawayrfromrtherinfant.rWithrRSV,rotherrchildrenrneedrtorberprotectedrfromrex
posurertorthervirus.rThervirusrisrnotrairborne.



3. Archildrhasrarchronicrcoughrandrdiffuserwheezingrduringrtherexpiratoryrphaserofrrespiration.rThisrsu
ggestsrwhatrcondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignrbodyrinrtrachearANS:rA

Asthmarmayrhavertheserchronicrsignsrandrsymptoms.rPneumoniarappearsrwithranracuteronset,rfe

ver,randrgeneralrmalaise.rBronchiolitisrisranracuterconditionrcausedrbyrrespiratoryrsyncytial



virus.rForeignrbodyrinrthertrachearoccursrwithracuterrespiratoryrdistressrorrfailurerandrmayberstridor.

4. Whichrnursingrdiagnosisrisrmostrappropriaterforranrinfantrwithracuterbronchiolitisrduertorre
spiratoryrsyncytialrvirusr(RSV)?

a. ActivityrIntolerance

b. DecreasedrCardiacrOutput

c. Pain,rAcute

d. TissuerPerfusion,rIneffectiver(peripheral)rANS.rA

Rationaler1:rActivityrintolerancerisrarproblemrbecauserofrtherimbalancerbetweenroxygenrsupplyrandrdem
and.rCardiacroutputrisrnotrcompromisedrduringranracuterphaserofrbronchiolitis.rPainrisrnotrusuallyrassocia
tedrwithracuterbronchiolitis.rTissuerperfusionr(peripheral)risrnotraffectedrbyrthisrrespiratory-
rdiseaserprocess.




Rationaler2:rActivityrintolerancerisrarproblemrbecauserofrtherimbalancerbetweenroxygenrsupplyrandrdem
and.rCardiacroutputrisrnotrcompromisedrduringranracuterphaserofrbronchiolitis.rPainrisrnotrusuallyrassocia
tedrwithracuterbronchiolitis.rTissuerperfusionr(peripheral)risrnotraffectedrbyrthisrrespiratory-
rdiseaserprocess.

, PediatricrNursing,rArCase-BasedrApproach,r1strEditionrByrTagherrKnapp


Rationaler3:rActivityrintolerancerisrarproblemrbecauserofrtherimbalancerbetweenroxygenrsupplyrandrdem
and.rCardiacroutputrisrnotrcompromisedrduringranracuterphaserofrbronchiolitis.rPainrisrnotrusuallyrassocia
tedrwithracuterbronchiolitis.rTissuerperfusionr(peripheral)risrnotraffectedrbyrthisrrespiratory-
rdiseaserprocess.




Rationaler4:rActivityrintolerancerisrarproblemrbecauserofrtherimbalancerbetweenroxygenrsupplyrandrdem
and.rCardiacroutputrisrnotrcompromisedrduringranracuterphaserofrbronchiolitis.rPainrisrnotrusuallyrassocia
tedrwithracuterbronchiolitis.rTissuerperfusionr(peripheral)risrnotraffectedrbyrthisrrespiratory-
rdiseaserprocess.




GlobalrRationale:rActivityrintolerancerisrarproblemrbecauserofrtherimbalancerbetweenroxygenrsupplyrandrde
mand.rCardiacroutputrisrnotrcompromisedrduringranracuterphaserofrbronchiolitis.rPainrisrnotrusuallyrassocia
tedrwithracuterbronchiolitis.rTissuerperfusionr(peripheral)risrnotraffectedrbyrthisrrespiratory-
rdiseaserprocess.




Chapterr2:rAsthma



1. Thernurserisrcaringrforrarchildrhospitalizedrforrstatusrasthmaticus.rWhichrassessmentrfindingrs
uggestsrthatrtherchildsrconditionrisrworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingrANS:rA



Thernurserwouldrassessrtherchildrforrsignsrofrhypoxia,rincludingrrestlessness,rfatigue,rirritability,randrincrease
drheartrandrrespiratoryrrate.rAsrtherchildrtiresrfromrtherincreasedrworkrofrbreathingrhypoventilationroccursrl
eadingrtorincreasedrcarbonrdioxiderlevels.rThernurserwouldrberalertrforrsignsrof