Pediatric Nursing- A Case-Based Approach
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. St
andard
Precautions
ANSWER: C
RSV dis dtransmitted dthrough ddroplets. dIn daddition dto dStandard
dPrecautions dand dhand dwashing, d Contact dPrecautions dare drequired.
dCaregivers dmust duse dgloves dand dgowns dwhen dentering dthe d room.
dCare dis dtaken dnot dto dtouch dtheir down deyes dor dmucous dmembranes
dwith da dcontaminated d gloved dhand. dChildren dare dplaced din da dprivate
droom dor din da droom dwith dother dchildren dwith dRSV d infections. dReverse
disolation dfocuses don dkeeping dbacteria daway dfrom dthe dinfant. dWith dRSV,
dother d children dneed dto dbe dprotected dfrom dexposure dto dthe dvirus.
dThe dvirus dis dnot dairborne.
, Pediatric Nursing- A Case-Based Approach
3. A dchild dhas da dchronic dcough dand ddiffuse dwheezing dduring dthe
dexpiratory dphase dof drespiration. d This dsuggests dwhat dcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn dbody din
dtrachea
d ANSWER: dA
Asthma dmay dhave dthese dchronic dsigns dand dsymptoms. dPneumonia
dappears dwith dan dacute donset, d fever, dand dgeneral dmalaise. dBronchiolitis
dis dan dacute dcondition dcaused dby drespiratory dsyncytial
virus. dForeign dbody din dthe dtrachea doccurs dwith dacute drespiratory ddistress
dor dfailure dand dmaybe d stridor.
4. Which dnursing ddiagnosis dis dmost dappropriate dfor dan dinfant dwith
dacute dbronchiolitis ddue dto d respiratory dsyncytial dvirus d(RSV)?
a. Activity dIntolerance
b. Decreased dCardiac dOutput
c. Pain, dAcute
d. Tissue dPerfusion,
dIneffective d(peripheral)
d ANS. dA
Rationale d1: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
dbetween doxygen dsupply d and ddemand. dCardiac doutput dis dnot
dcompromised dduring dan dacute dphase dof dbronchiolitis. dPain dis d not
dusually dassociated dwith dacute dbronchiolitis. dTissue dperfusion d(peripheral)
dis dnot daffected dby d this drespiratory-disease dprocess.
Rationale d2: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
dbetween doxygen dsupply d and ddemand. dCardiac doutput dis dnot
dcompromised dduring dan dacute dphase dof dbronchiolitis. dPain dis d not
dusually dassociated dwith dacute dbronchiolitis. dTissue dperfusion d(peripheral)
dis dnot daffected dby d this drespiratory-disease dprocess.
Rationale d3: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
dbetween doxygen dsupply d and ddemand. dCardiac doutput dis dnot
dcompromised dduring dan dacute dphase dof dbronchiolitis. dPain dis d not
dusually dassociated dwith dacute dbronchiolitis. dTissue dperfusion d(peripheral)
dis dnot daffected dby d this drespiratory-disease dprocess.
Rationale d4: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
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. St
andard
Precautions
ANSWER: C
RSV dis dtransmitted dthrough ddroplets. dIn daddition dto dStandard
dPrecautions dand dhand dwashing, d Contact dPrecautions dare drequired.
dCaregivers dmust duse dgloves dand dgowns dwhen dentering dthe d room.
dCare dis dtaken dnot dto dtouch dtheir down deyes dor dmucous dmembranes
dwith da dcontaminated d gloved dhand. dChildren dare dplaced din da dprivate
droom dor din da droom dwith dother dchildren dwith dRSV d infections. dReverse
disolation dfocuses don dkeeping dbacteria daway dfrom dthe dinfant. dWith dRSV,
dother d children dneed dto dbe dprotected dfrom dexposure dto dthe dvirus.
dThe dvirus dis dnot dairborne.
, Pediatric Nursing- A Case-Based Approach
3. A dchild dhas da dchronic dcough dand ddiffuse dwheezing dduring dthe
dexpiratory dphase dof drespiration. d This dsuggests dwhat dcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn dbody din
dtrachea
d ANSWER: dA
Asthma dmay dhave dthese dchronic dsigns dand dsymptoms. dPneumonia
dappears dwith dan dacute donset, d fever, dand dgeneral dmalaise. dBronchiolitis
dis dan dacute dcondition dcaused dby drespiratory dsyncytial
virus. dForeign dbody din dthe dtrachea doccurs dwith dacute drespiratory ddistress
dor dfailure dand dmaybe d stridor.
4. Which dnursing ddiagnosis dis dmost dappropriate dfor dan dinfant dwith
dacute dbronchiolitis ddue dto d respiratory dsyncytial dvirus d(RSV)?
a. Activity dIntolerance
b. Decreased dCardiac dOutput
c. Pain, dAcute
d. Tissue dPerfusion,
dIneffective d(peripheral)
d ANS. dA
Rationale d1: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
dbetween doxygen dsupply d and ddemand. dCardiac doutput dis dnot
dcompromised dduring dan dacute dphase dof dbronchiolitis. dPain dis d not
dusually dassociated dwith dacute dbronchiolitis. dTissue dperfusion d(peripheral)
dis dnot daffected dby d this drespiratory-disease dprocess.
Rationale d2: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
dbetween doxygen dsupply d and ddemand. dCardiac doutput dis dnot
dcompromised dduring dan dacute dphase dof dbronchiolitis. dPain dis d not
dusually dassociated dwith dacute dbronchiolitis. dTissue dperfusion d(peripheral)
dis dnot daffected dby d this drespiratory-disease dprocess.
Rationale d3: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
dbetween doxygen dsupply d and ddemand. dCardiac doutput dis dnot
dcompromised dduring dan dacute dphase dof dbronchiolitis. dPain dis d not
dusually dassociated dwith dacute dbronchiolitis. dTissue dperfusion d(peripheral)
dis dnot daffected dby d this drespiratory-disease dprocess.
Rationale d4: dActivity dintolerance dis da dproblem dbecause dof dthe dimbalance
