FULL TEST BANK
PEDIATRIC NURSING: A CASE-BASED APPROACH
2ND EDITION
BY CATHERINE GANNON TAGHER COMPLETE
CHAPTERS 1-34
,TABLE OF CONTENTS
CHAPTER 1: BRONCHIOLITIS .................................................................................. 4
CHAPTER 2: ASTHMA ............................................................................................. 6
CHAPTER 3: ULNAR FRACTURE............................................................................. 12
CHAPTER 4: URINARY TRACT INFECTION AND PYELONEPHRITIS .......................... 16
CHAPTER 5: GASTROENTERITIS, FEVER, AND DEHYDRATION ............................... 24
CHAPTER 6: LEUKEMIA......................................................................................... 44
CHAPTER 7: HEART FAILURE ................................................................................ 50
CHAPTER 8: FAILURE TO THRIVE .......................................................................... 56
CHAPTER 9: TONIC-CLONIC SEIZURES .................................................................. 58
CHAPTER 10: DIABETES MELLITUS TYPE 1 ............................................................ 63
CHAPTER 11: SECOND-DEGREE BURNS ................................................................ 69
CHAPTER 12: SICKLE CELL ANEMIA....................................................................... 72
CHAPTER 13: ATTENTION DEFICIT HYPERACTIVITY DISORDER ............................. 76
CHAPTER 14: OBESITY .......................................................................................... 77
CHAPTER 15: CARE OF THE NEWBORN AND INFANT............................................ 81
CHAPTER 16: CARE OF THE TODDLER ................................................................... 89
CHAPTER 17: CARE OF THE PRESCHOOLER .......................................................... 98
CHAPTER 18: CARE OF THE SCHOOL-AGE CHILD ................................................ 116
CHAPTER 19: CARE OF THE ADOLESCENT ........................................................... 123
CHAPTER 20: ALTERATIONS IN RESPIRATORY FUNCTION ................................... 130
CHAPTER 21: ALTERATIONS IN CARDIAC FUNCTION .......................................... 163
CHAPTER 22: ALTERATIONS IN NEUROLOGICAL AND SENSORY FUNCTION ........ 178
CHAPTER 23: ALTERATIONS IN GASTROINTESTINAL FUNCTION ......................... 187
CHAPTER 24: ALTERATIONS IN GENITOURINARY FUNCTION .............................. 202
CHAPTER 25: ALTERATIONS IN HEMATOLOGICAL FUNCTION ............................ 218
CHAPTER 26: ONCOLOGICAL DISORDERS ........................................................... 234
CHAPTER 27: ALTERATIONS IN MUSCULOSKELETAL FUNCTION ......................... 252
,CHAPTER 28: ALTERATIONS IN NEUROMUSCULAR FUNCTION ........................... 278
CHAPTER 29: ALTERATIONS IN INTEGUMENTARY FUNCTION ............................ 291
CHAPTER 30: ALTERATIONS IN IMMUNE FUNCTION .......................................... 311
CHAPTER 31: ALTERATIONS IN ENDOCRINE FUNCTION ..................................... 320
CHAPTER 32: GENETIC DISORDERS .................................................................... 340
CHAPTER 33: ALTERATIONS IN COGNITION AND MENTAL HEALTH .................... 351
CHAPTER 34: PEDIATRIC EMERGENCIES ............................................................. 369
, 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.
ANS: 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
SYNCYTIAL VIRUS (RSV). THE NURSE KNOWS THAT A CHILD INFECTED WITH THIS VIRUS REQUIRES WHAT
TYPE OF ISOLATION?
A. REVERSE ISOLATION
B. AIRBORNE ISOLATION
C. CONTACT PRECAUTIONS
D. STANDARD PRECAUTIONS
ANS: C
RSV IS TRANSMITTED THROUGH DROPLETS. IN ADDITION TO STANDARD PRECAUTIONS AND HAND
WASHING,
CONTACT PRECAUTIONS ARE REQUIRED. CAREGIVERS MUST USE GLOVES AND GOWNS WHEN
ENTERING THE ROOM. CARE IS TAKEN NOT TO TOUCH THEIR OWN EYES OR MUCOUS MEMBRANES
WITH A CONTAMINATED GLOVED HAND. CHILDREN ARE PLACED IN A PRIVATE ROOM OR IN A ROOM
WITH OTHER CHILDREN WITH RSV INFECTIONS. REVERSE ISOLATION FOCUSES ON KEEPING BACTERIA
AWAY FROM THE INFANT. WITH RSV, OTHER CHILDREN NEED TO BE PROTECTED FROM EXPOSURE TO
THE VIRUS. THE VIRUS IS NOT AIRBORNE.
PEDIATRIC NURSING: A CASE-BASED APPROACH
2ND EDITION
BY CATHERINE GANNON TAGHER COMPLETE
CHAPTERS 1-34
,TABLE OF CONTENTS
CHAPTER 1: BRONCHIOLITIS .................................................................................. 4
CHAPTER 2: ASTHMA ............................................................................................. 6
CHAPTER 3: ULNAR FRACTURE............................................................................. 12
CHAPTER 4: URINARY TRACT INFECTION AND PYELONEPHRITIS .......................... 16
CHAPTER 5: GASTROENTERITIS, FEVER, AND DEHYDRATION ............................... 24
CHAPTER 6: LEUKEMIA......................................................................................... 44
CHAPTER 7: HEART FAILURE ................................................................................ 50
CHAPTER 8: FAILURE TO THRIVE .......................................................................... 56
CHAPTER 9: TONIC-CLONIC SEIZURES .................................................................. 58
CHAPTER 10: DIABETES MELLITUS TYPE 1 ............................................................ 63
CHAPTER 11: SECOND-DEGREE BURNS ................................................................ 69
CHAPTER 12: SICKLE CELL ANEMIA....................................................................... 72
CHAPTER 13: ATTENTION DEFICIT HYPERACTIVITY DISORDER ............................. 76
CHAPTER 14: OBESITY .......................................................................................... 77
CHAPTER 15: CARE OF THE NEWBORN AND INFANT............................................ 81
CHAPTER 16: CARE OF THE TODDLER ................................................................... 89
CHAPTER 17: CARE OF THE PRESCHOOLER .......................................................... 98
CHAPTER 18: CARE OF THE SCHOOL-AGE CHILD ................................................ 116
CHAPTER 19: CARE OF THE ADOLESCENT ........................................................... 123
CHAPTER 20: ALTERATIONS IN RESPIRATORY FUNCTION ................................... 130
CHAPTER 21: ALTERATIONS IN CARDIAC FUNCTION .......................................... 163
CHAPTER 22: ALTERATIONS IN NEUROLOGICAL AND SENSORY FUNCTION ........ 178
CHAPTER 23: ALTERATIONS IN GASTROINTESTINAL FUNCTION ......................... 187
CHAPTER 24: ALTERATIONS IN GENITOURINARY FUNCTION .............................. 202
CHAPTER 25: ALTERATIONS IN HEMATOLOGICAL FUNCTION ............................ 218
CHAPTER 26: ONCOLOGICAL DISORDERS ........................................................... 234
CHAPTER 27: ALTERATIONS IN MUSCULOSKELETAL FUNCTION ......................... 252
,CHAPTER 28: ALTERATIONS IN NEUROMUSCULAR FUNCTION ........................... 278
CHAPTER 29: ALTERATIONS IN INTEGUMENTARY FUNCTION ............................ 291
CHAPTER 30: ALTERATIONS IN IMMUNE FUNCTION .......................................... 311
CHAPTER 31: ALTERATIONS IN ENDOCRINE FUNCTION ..................................... 320
CHAPTER 32: GENETIC DISORDERS .................................................................... 340
CHAPTER 33: ALTERATIONS IN COGNITION AND MENTAL HEALTH .................... 351
CHAPTER 34: PEDIATRIC EMERGENCIES ............................................................. 369
, 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.
ANS: 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
SYNCYTIAL VIRUS (RSV). THE NURSE KNOWS THAT A CHILD INFECTED WITH THIS VIRUS REQUIRES WHAT
TYPE OF ISOLATION?
A. REVERSE ISOLATION
B. AIRBORNE ISOLATION
C. CONTACT PRECAUTIONS
D. STANDARD PRECAUTIONS
ANS: C
RSV IS TRANSMITTED THROUGH DROPLETS. IN ADDITION TO STANDARD PRECAUTIONS AND HAND
WASHING,
CONTACT PRECAUTIONS ARE REQUIRED. CAREGIVERS MUST USE GLOVES AND GOWNS WHEN
ENTERING THE ROOM. CARE IS TAKEN NOT TO TOUCH THEIR OWN EYES OR MUCOUS MEMBRANES
WITH A CONTAMINATED GLOVED HAND. CHILDREN ARE PLACED IN A PRIVATE ROOM OR IN A ROOM
WITH OTHER CHILDREN WITH RSV INFECTIONS. REVERSE ISOLATION FOCUSES ON KEEPING BACTERIA
AWAY FROM THE INFANT. WITH RSV, OTHER CHILDREN NEED TO BE PROTECTED FROM EXPOSURE TO
THE VIRUS. THE VIRUS IS NOT AIRBORNE.
