Pediatric Nursing- A Case-Based Approach
TEST BANK
8 8
Pediatric Nursing- A Case-
8 8 8
Based Approach 2nd Edition by Tagher
8 88 8 8 8 8
Knapp
8Chapters 1 - 34 | All Chapters
8 8 8 8 8 8
,Pediatric Nursing- A Case-Based Approach
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
Chapter81:8 Bronchiolitis
1. Which8intervention8is8appropriate8for8the8infant8hospitalized8with8bronchiolitis?
a. Position8on8the8side8with8neck8slightly8flexed.
b. Administer8antibiotics8as8ordered.
c. Restrict8oral8and8parenteral8fluids8if8tachypneic.
d. Give8cool,8humidified8oxygen.
8ANSWER:8D
Cool,8humidified8oxygen8is8given8to8relieve8dyspnea,8hypoxemia,8and8insensible8fluid8loss8fro
m8tachypnea.8The8infant8should8be8positioned8with8the8head8and8chest8elevated8at8a830-8to840-
degree8angle8and8the8neck8slightly8extended8to8maintain8an8open8airway8and8decrease8pressure8
on8the8diaphragm.8The8etiology8of8bronchiolitis8is8viral.8Antibiotics8are8given8only8if8there8is8a8
secondary8bacterial8infection.8Tachypnea8increases8insensible8fluid8loss.8If8the8infant8is8tachypn
eic,8fluids8are8given8parenterally8to8prevent8dehydration.
2. An8infant8with8bronchiolitis8is8hospitalized.8The8causative8organism8is8respiratory8syncytia
l8virus8(RSV).8The8nurse8knows8that8a8child8infected8with8this8virus8requires8what8type8of8is
olation?
a. Reverse8isolation
b. Airborne8isolation
c. Contact8Precautions
d. Standard8Precautions
8ANSWER:8C
RSV8is8transmitted8through8droplets.8In8addition8to8Standard8Precautions8and8hand8washing,8C
ontact8Precautions8are8required.8Caregivers8must8use8gloves8and8gowns8when8entering8the8roo
m.8Care8is8taken8not8to8touch8their8own8eyes8or8mucous8membranes8with8a8contaminated8glove
d8hand.8Children8are8placed8in8a8private8room8or8in8a8room8with8other8children8with8RSV8infect
ions.8Reverse8isolation8focuses8on8keeping8bacteria8away8from8the8infant.8With8RSV,8other8child
ren8need8to8be8protected8from8exposure8to8the8virus.8The8virus8is8not8airborne.
3. A8child8has8a8chronic8cough8and8diffuse8wheezing8during8the8expiratory8phase8of8respiratio
n.8This8suggests8what8condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign8body8in8trachea
8ANSWER:8A
Asthma8may8have8these8chronic8signs8and8symptoms.8Pneumonia8appears8with8an8acute8onset,8f
ever,8and8general8malaise.8Bronchiolitis8is8an8acute8condition8caused8by8respiratory8syncytial
TEST BANK
8 8
Pediatric Nursing- A Case-
8 8 8
Based Approach 2nd Edition by Tagher
8 88 8 8 8 8
Knapp
8Chapters 1 - 34 | All Chapters
8 8 8 8 8 8
,Pediatric Nursing- A Case-Based Approach
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
Chapter81:8 Bronchiolitis
1. Which8intervention8is8appropriate8for8the8infant8hospitalized8with8bronchiolitis?
a. Position8on8the8side8with8neck8slightly8flexed.
b. Administer8antibiotics8as8ordered.
c. Restrict8oral8and8parenteral8fluids8if8tachypneic.
d. Give8cool,8humidified8oxygen.
8ANSWER:8D
Cool,8humidified8oxygen8is8given8to8relieve8dyspnea,8hypoxemia,8and8insensible8fluid8loss8fro
m8tachypnea.8The8infant8should8be8positioned8with8the8head8and8chest8elevated8at8a830-8to840-
degree8angle8and8the8neck8slightly8extended8to8maintain8an8open8airway8and8decrease8pressure8
on8the8diaphragm.8The8etiology8of8bronchiolitis8is8viral.8Antibiotics8are8given8only8if8there8is8a8
secondary8bacterial8infection.8Tachypnea8increases8insensible8fluid8loss.8If8the8infant8is8tachypn
eic,8fluids8are8given8parenterally8to8prevent8dehydration.
2. An8infant8with8bronchiolitis8is8hospitalized.8The8causative8organism8is8respiratory8syncytia
l8virus8(RSV).8The8nurse8knows8that8a8child8infected8with8this8virus8requires8what8type8of8is
olation?
a. Reverse8isolation
b. Airborne8isolation
c. Contact8Precautions
d. Standard8Precautions
8ANSWER:8C
RSV8is8transmitted8through8droplets.8In8addition8to8Standard8Precautions8and8hand8washing,8C
ontact8Precautions8are8required.8Caregivers8must8use8gloves8and8gowns8when8entering8the8roo
m.8Care8is8taken8not8to8touch8their8own8eyes8or8mucous8membranes8with8a8contaminated8glove
d8hand.8Children8are8placed8in8a8private8room8or8in8a8room8with8other8children8with8RSV8infect
ions.8Reverse8isolation8focuses8on8keeping8bacteria8away8from8the8infant.8With8RSV,8other8child
ren8need8to8be8protected8from8exposure8to8the8virus.8The8virus8is8not8airborne.
3. A8child8has8a8chronic8cough8and8diffuse8wheezing8during8the8expiratory8phase8of8respiratio
n.8This8suggests8what8condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign8body8in8trachea
8ANSWER:8A
Asthma8may8have8these8chronic8signs8and8symptoms.8Pneumonia8appears8with8an8acute8onset,8f
ever,8and8general8malaise.8Bronchiolitis8is8an8acute8condition8caused8by8respiratory8syncytial
