Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
TEST BANK
Pediatric Nursing, A Case- Based Approach, 1st
Edition ByTagher Knapp
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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
givenparenterally 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
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
focuses on keeping bacteria away from the infant. With RSV, other children
need to be protected fromexposure to the virus. The virus is not airborne.
3. A child has a chronic cough and diffuse wheezing during the expiratory
phase of respiration. Thissuggests what condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ANS: 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
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 torespiratory syncytial virus (RSV)?
a. Activity Intolerance
b. Decreased Cardiac Output
c. Pain, Acute
d. Tissue Perfusion, Ineffective (peripheral) ANS. A
TEST BANK
Pediatric Nursing, A Case- Based Approach, 1st
Edition ByTagher Knapp
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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
givenparenterally 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
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
focuses on keeping bacteria away from the infant. With RSV, other children
need to be protected fromexposure to the virus. The virus is not airborne.
3. A child has a chronic cough and diffuse wheezing during the expiratory
phase of respiration. Thissuggests what condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ANS: 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
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 torespiratory syncytial virus (RSV)?
a. Activity Intolerance
b. Decreased Cardiac Output
c. Pain, Acute
d. Tissue Perfusion, Ineffective (peripheral) ANS. A
