Test Bank For Pediatric Nursing: A Case-Based Approach 2nd (Second) Edition by GANNON TAGHER and LISA KNAPP

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Test Bank For 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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Chapter 1: Bronchiolitis j 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. j j j j j j j




b. Administer antibiotics as ordered. j j j




c. Restrict oral and parenteral fluids if tachypneic. j j j j j j




d. Givecool, humidified oxygen. j j j




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
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diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
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bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
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given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratorysyncytial
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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?
a. Reverse isolation j




b. Airborne isolation j




c. Contact Precautions j




d. StandardPrecautions j




ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Contact
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Precautions are required. Caregivers must use gloves and gowns when entering the room. Care is
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taken not to touch their own eyes or mucous membranes with a contaminated gloved hand.
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Children are placed in a private room or in a room with other children with RSV infections. Reverse
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isolation focuses on keeping bacteria away from the infant. With RSV, other children need to be
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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 expiratoryphase of respiration.
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This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea j j j

, ANSWER: A
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Asthma mayhave these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
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and general malaise. Bronchiolitis is an acute condition caused byrespiratory syncytial
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