Pediatric Nursing- A Case-Based Approach
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TEST BANK
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Pediatric Nursing- A Case-Based
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Approach |!
2nd Edition by Tagher Knapp
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|! Chapters 1 - 34 | All Chapters
|! |! |! |! |! |!
,Pediatric Nursing- A Case-Based Approach
|! |! |! |! |!
, Pediatric Nursing- A Case-Based Approach |! |! |! |! |!
Chapter 1: |! | ! Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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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. |! |! |! |!
ANSWER: 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 |!
ANSWER: 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.
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
respiration. This suggests what condition? |! |! |! |!
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea |! |! |! |!
ANSWER: A |!
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
|! |! |! |! |! |! |! |! |! |! |! |! |!
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
|! |! |! |! |! |! |! |! |! |! |! |!
, Pediatric Nursing- A Case-Based Approach |! |! |! |! |!
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
stridor.
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due
|! |! |! |! |! |! |! |! |! |! |! |! |!
to respiratory syncytial virus (RSV)?
|! |! |! |!
a. Activity Intolerance |!
b. Decreased Cardiac Output |! |!
c. Pain, Acute |!
d. Tissue Perfusion, Ineffective (peripheral) |! |! |! |!
ANS. A |!
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
|! |! |! |! |! |! |! |! |! |! |! |! |!
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
|! |! |! |! |! |! |! |! |! |! |! |! |!
affected by this respiratory-disease process.
|! |! |! |!
Chapter 2: Asthma |! |!
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment
|! |! |! |! |! |! |! |! |! |! |! |! |!
finding suggests that the childs condition is worsening?
|! |! |! |! |! |! |!
a. Hypoventilation
b. Thirst
c. Bradycardia
|! |! |! |! |!
TEST BANK
|! |!
Pediatric Nursing- A Case-Based
|! |! |! |!
Approach |!
2nd Edition by Tagher Knapp
|! |! |! |!
|! Chapters 1 - 34 | All Chapters
|! |! |! |! |! |!
,Pediatric Nursing- A Case-Based Approach
|! |! |! |! |!
, Pediatric Nursing- A Case-Based Approach |! |! |! |! |!
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. |! |! |! |!
ANSWER: 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 |!
ANSWER: 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.
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
respiration. This suggests what condition? |! |! |! |!
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea |! |! |! |!
ANSWER: A |!
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
|! |! |! |! |! |! |! |! |! |! |! |! |!
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
|! |! |! |! |! |! |! |! |! |! |! |!
, Pediatric Nursing- A Case-Based Approach |! |! |! |! |!
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
stridor.
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due
|! |! |! |! |! |! |! |! |! |! |! |! |!
to respiratory syncytial virus (RSV)?
|! |! |! |!
a. Activity Intolerance |!
b. Decreased Cardiac Output |! |!
c. Pain, Acute |!
d. Tissue Perfusion, Ineffective (peripheral) |! |! |! |!
ANS. A |!
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
|! |! |! |! |! |! |! |! |! |! |! |! |!
by this respiratory-disease process.
|! |! |!
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
|! |! |! |! |! |! |! |! |! |! |! |! |!
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
|! |! |! |! |! |! |! |! |! |! |! |! |!
affected by this respiratory-disease process.
|! |! |! |!
Chapter 2: Asthma |! |!
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment
|! |! |! |! |! |! |! |! |! |! |! |! |!
finding suggests that the childs condition is worsening?
|! |! |! |! |! |! |!
a. Hypoventilation
b. Thirst
c. Bradycardia
