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