TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters

Pediatric Nursing- A Case-Based Approach
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TESTBANK g




Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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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 g g g g




Chapter 1: Bronchiolitis g g




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. g g g g g g g




b. Administer antibiotics as ordered. g g g




c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen. g g g




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ANSWER: D g




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-
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degree angle and the neck slightly extended to maintain an open airway and decrease pressure
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on the 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 g




b. Airborne isolation g




c. Contact Precautions g




d. Standard
Precautions 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 g g g

, Pediatric Nursing- A Case-Based Approach
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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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