Pediatric Nursing- A Case-Based Approach
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric54Nursing-54A54Case-
Based54Approach
, Pediatric54Nursing-54A54Case-
Based54Approach
Chapter541:5 4 Bronchiolitis
1. Which54intervention54is54appropriate54for54the54infant54hospitalized54with54bronchiolitis?
a. Position54on54the54side54with54neck54slightly54flexed.
b. Administer54antibiotics54as54ordered.
c. Restrict54oral54and54parenteral54fluids54if54tachypneic.
d. Give54cool,54humidified54oxyg
en.5 4 ANSWER:54D
Cool,54humidified54oxygen54is54given54to54relieve54dyspnea,54hypoxemia,54and54insensible54fluid
54loss54from5 4 tachypnea.54The54infant54should54be54positioned54with54the54head54and54chest54
elevated54at54a5430-54to5440-
degree5 4 angle54and54the54neck54slightly54extended54to54maintain54an54open54airway54and54de
crease54pressure54on54the5 4 diaphragm.54The54etiology54of54bronchiolitis54is54viral.54Antibiotic
s54are54given54only54if54there54is54a5 4 secondary54bacterial54infection.54Tachypnea54increases54i
nsensible54fluid54loss.54If54the54infant54is5 4 tachypneic,54fluids54are54given54parenterally54to54pr
event54dehydration.
2. An54infant54with54bronchiolitis54is54hospitalized.54The54causative54organism54is54respirator
y54syncytial5 4 virus54(RSV).54The54nurse54knows54that54a54child54infected54with54this54virus5
4requires54what54type54of5 4 isolation?
a. Reverse54isolation
b. Airborne54isolation
c. Contact54Precautions
d. Standard54Precautio
ns5 4 ANSWER:54C
RSV54is54transmitted54through54droplets.54In54addition54to54Standard54Precautions54and54hand54
washing,5 4 Contact54Precautions54are54required.54Caregivers54must54use54gloves54and54gowns
54when54entering54the5 4 room.54Care54is54taken54not54to54touch54their54own54eyes54or54muco
us54membranes54with54a54contaminated5 4 gloved54hand.54Children54are54placed54in54a54privat
e54room54or54in54a54room54with54other54children54with54RSV5 4 infections.54Reverse54isolation54
focuses54on54keeping54bacteria54away54from54the54infant.54With54RSV,54other5 4 children54need5
4to54be54protected54from54exposure54to54the54virus.54The54virus54is54not54airborne.
3. A54child54has54a54chronic54cough54and54diffuse54wheezing54during54the54expiratory54phase5
4of54respiration.5 4 This54suggests54what54condition?
a. Asthma
, Pediatric54Nursing-54A54Case-
b. Pneumonia Based54Approach
c. Bronchiolitis
d. Foreign54body54in54trac
hea5 4 ANSWER:54A
Asthma54may54have54these54chronic54signs54and54symptoms.54Pneumonia54appears54with54an54
acute54onset,5 4 fever,54and54general54malaise.54Bronchiolitis54is54an54acute54condition54caused5
4by54respiratory54syncytial
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric54Nursing-54A54Case-
Based54Approach
, Pediatric54Nursing-54A54Case-
Based54Approach
Chapter541:5 4 Bronchiolitis
1. Which54intervention54is54appropriate54for54the54infant54hospitalized54with54bronchiolitis?
a. Position54on54the54side54with54neck54slightly54flexed.
b. Administer54antibiotics54as54ordered.
c. Restrict54oral54and54parenteral54fluids54if54tachypneic.
d. Give54cool,54humidified54oxyg
en.5 4 ANSWER:54D
Cool,54humidified54oxygen54is54given54to54relieve54dyspnea,54hypoxemia,54and54insensible54fluid
54loss54from5 4 tachypnea.54The54infant54should54be54positioned54with54the54head54and54chest54
elevated54at54a5430-54to5440-
degree5 4 angle54and54the54neck54slightly54extended54to54maintain54an54open54airway54and54de
crease54pressure54on54the5 4 diaphragm.54The54etiology54of54bronchiolitis54is54viral.54Antibiotic
s54are54given54only54if54there54is54a5 4 secondary54bacterial54infection.54Tachypnea54increases54i
nsensible54fluid54loss.54If54the54infant54is5 4 tachypneic,54fluids54are54given54parenterally54to54pr
event54dehydration.
2. An54infant54with54bronchiolitis54is54hospitalized.54The54causative54organism54is54respirator
y54syncytial5 4 virus54(RSV).54The54nurse54knows54that54a54child54infected54with54this54virus5
4requires54what54type54of5 4 isolation?
a. Reverse54isolation
b. Airborne54isolation
c. Contact54Precautions
d. Standard54Precautio
ns5 4 ANSWER:54C
RSV54is54transmitted54through54droplets.54In54addition54to54Standard54Precautions54and54hand54
washing,5 4 Contact54Precautions54are54required.54Caregivers54must54use54gloves54and54gowns
54when54entering54the5 4 room.54Care54is54taken54not54to54touch54their54own54eyes54or54muco
us54membranes54with54a54contaminated5 4 gloved54hand.54Children54are54placed54in54a54privat
e54room54or54in54a54room54with54other54children54with54RSV5 4 infections.54Reverse54isolation54
focuses54on54keeping54bacteria54away54from54the54infant.54With54RSV,54other5 4 children54need5
4to54be54protected54from54exposure54to54the54virus.54The54virus54is54not54airborne.
3. A54child54has54a54chronic54cough54and54diffuse54wheezing54during54the54expiratory54phase5
4of54respiration.5 4 This54suggests54what54condition?
a. Asthma
, Pediatric54Nursing-54A54Case-
b. Pneumonia Based54Approach
c. Bronchiolitis
d. Foreign54body54in54trac
hea5 4 ANSWER:54A
Asthma54may54have54these54chronic54signs54and54symptoms.54Pneumonia54appears54with54an54
acute54onset,5 4 fever,54and54general54malaise.54Bronchiolitis54is54an54acute54condition54caused5
4by54respiratory54syncytial
