Pediatric Nursing: A Case-Based Approach, 2nd
Edition (2023) by Gannon & Knapp | Complete
Test Bank with Verified Q&A | Latest Edition
,Chapter 6b1: 6bBronchiolitis
1. Which 6bintervention 6bis 6bappropriate 6bfor 6bthe 6binfant 6bhospitalized 6bwith 6bbronchiolitis?
a. Position 6bon 6bthe 6bside 6bwith 6bneck 6bslightly 6bflexed.
b. Administer 6bantibiotics 6bas 6bordered.
c. Restrict 6boral 6band 6bparenteral 6bfluids 6bif 6btachypnea.
d. Give 6bcool, 6bhumidified 6boxygen. 6bANS: 6bD
Cool, 6bhumidified 6boxygen 6bis 6bgiven 6bto 6brelieve 6bdyspnea, 6bhypoxemia, 6band 6binsensible 6bfluid 6bloss 6bfrom
Tachypnea. 6bThe 6binfant 6bshould 6bbe 6bpositioned 6bwith 6bthe 6bhead 6band 6bchest 6belevated 6bat 6ba 6b30-
6bto 6b40-degree 6bangle 6band 6bthe 6bneck 6bslightly 6bextended 6bto 6bm 6bNat 6bn 6ban 6bopen 6bairway 6band
6bdecrease 6bpressure 6bon 6bthe 6bdiaphragm. 6bThe 6betiology 6bof 6bbronchiolitis 6bis 6bvery 6bl. 6bAnt 6bb
6boptics 6bare 6bgiven 6bonly 6bif 6bthere 6bis 6ba 6bsecondary 6bbacterial 6binfection. 6bTachypnea 6bincreases
6binsensible 6bflu 6bd 6bloss. 6bIf 6bt 6be 6binfant 6bis 6btachypnea, 6bfluids 6bare 6bgiven 6bparenteral 6bto 6bprevent
6bdehydration.
2. An 6binfant 6bwith 6bbronchiolitis 6bis 6bhospitalized. S 6btie 6borganism 6bis 6brespiratory 6bsyncytial
6bThe 6bc 6b(RSV). 6bThe 6bnurse 6bknows 6bthat 6ba 6bchild 6bvirus 6bs 6brequires 6bwhat 6btype 6bof
6binfected 6bwith 6bthis 6bvery 6bisolation?
a. Reverse 6bisolation
b. Airborne 6bisolation
c. Contact 6bPrecautions
d. Standard 6bPrecautions 6bANS: 6bC
,RSV 6bis 6btransmitted 6bthrough 6bdroplets. 6bIn 6baddition 6bto 6bStandard 6bPrecautions 6band 6bhand 6bwashing,
Contact 6bPrecautions 6bare 6brequired. 6bCaregivers 6bmust 6buse 6bgloves 6band 6bgowns 6bwhen 6bentering
6bthe 6broom. 6bCare 6bis 6btaken 6bnot 6bto 6btouch 6btheir 6bown 6beyes 6bor 6bmucous 6bmembranes 6bwith 6ba
6bcontaminated 6bgloved 6bhand. 6bChildren 6bare 6bplaced 6bin 6ba 6bprivate 6broom 6bor 6bin 6ba 6broom 6bwith
6bother 6bchildren 6bwith 6bRSV 6binfections. 6bReverse 6bisolation 6bfocuses 6bon 6bkeeping 6bbacteria 6baway
6bfrom 6bthe 6binfant. 6bWith 6bRSV, 6bother 6bchildren 6bneed 6bto 6bbe 6bprotected 6bfrom 6bexposure 6bto 6bthe
6bvirus. 6bThe 6bvirus 6bis 6bnot 6bairborne.
, Pediatric 6bNursing, 6ba 6bCase-Based 6bApproach, 6b2nd 6bEdition 6bBy 6bTag
6bher 6bKnapp
3. A 6bchild 6bhas 6ba 6bchronic 6bcough 6band 6bdiffuse 6bwheezing 6bduring 6bthe 6bexpiratory 6bphase 6bof
6brespiration. 6bThis 6bsuggests 6bwhat 6bcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign 6bbody 6bin 6btrachea 6bANS: 6bA
Asthma 6bmay 6bhave 6bthese 6bchronic 6bsigns 6bND 6bsymptoms. 6bPneumonia 6bappears 6bwith 6ban 6bacute
onset, 6bfever, 6bAnd 6bgeneral 6bmalaise. 6bBronchiolitis 6bs 6bn 6bacute 6bcondition 6bcaused 6bby
6b
6b respiratory 6bsyncytial
Virus. 6bForeign 6bbody 6bin 6bthe 6btrachea 6boccurs 6bwith 6bace 6be 6brespiratory 6bdistress 6bor 6bfailure 6band 6bmaybe
6bstridor.
4. Which 6bnursing 6bdiagnosis 6bis 6bmost 6bappropriate 6be 6bfor 6ban 6binfant 6bwith 6bacute
6bbronchiolitis 6bdue 6bto 6brespiratory 6bsyncytial 6bvirus 6b(RSV)?
a. Activity 6bIntolerance
b. Decreased 6bCardiac 6bOutput
c. Pain, 6bAcute
d. Tissue 6bPerfusion, 6bIneffective 6b(peripheral) 6bANS. 6bA
Rationale 6b1: 6bActivity 6bintolerance 6bis 6ba 6bproblem 6bbecause 6bof 6bthe 6bimbalance 6bbetween 6boxygen
6bsupply 6band 6bdemand. 6bCardiac 6boutput 6bis 6bnot 6bcompromised 6bduring 6ban 6bacute 6bphase 6bof
6bbronchiolitis. 6bPain 6bis 6bnot 6busually 6bassociated 6bwith 6bacute 6bbronchiolitis. 6bTissue 6bperfusion
6b(peripheral) 6bis 6bnot 6baffected 6bby 6bthis 6brespiratory 6bdisease 6bprocess.
Rationale 6b2: 6bActivity 6bintolerance 6bis 6ba 6bproblem 6bbecause 6bof 6bthe 6bimbalance 6bbetween 6boxygen
6bsupply 6band 6bdemand. 6bCardiac 6boutput 6bis 6bnot 6bcompromised 6bduring 6ban 6bacute 6bphase 6bof
6bbronchiolitis. 6bPain 6bis 6bnot 6busually 6bassociated 6bwith 6bacute 6bbronchiolitis. 6bTissue 6bperfusion
6b(peripheral) 6bis 6bnot 6baffected 6bby 6bthis 6brespiratory 6bdisease 6bprocess.
Rationale 6b3: 6bActivity 6bintolerance 6bis 6ba 6bproblem 6bbecause 6bof 6bthe 6bimbalance 6bbetween 6boxygen
6bsupply 6band 6bdemand. 6bCardiac 6boutput 6bis 6bnot 6bcompromised 6bduring 6ban 6bacute 6bphase 6bof
6bbronchiolitis. 6bPain 6bis 6bnot 6busually 6bassociated 6bwith 6bacute 6bbronchiolitis. 6bTissue 6bperfusion
6b(peripheral) 6bis 6bnot 6baffected 6bby 6bthis 6brespiratory 6bdisease 6bprocess.
Edition (2023) by Gannon & Knapp | Complete
Test Bank with Verified Q&A | Latest Edition
,Chapter 6b1: 6bBronchiolitis
1. Which 6bintervention 6bis 6bappropriate 6bfor 6bthe 6binfant 6bhospitalized 6bwith 6bbronchiolitis?
a. Position 6bon 6bthe 6bside 6bwith 6bneck 6bslightly 6bflexed.
b. Administer 6bantibiotics 6bas 6bordered.
c. Restrict 6boral 6band 6bparenteral 6bfluids 6bif 6btachypnea.
d. Give 6bcool, 6bhumidified 6boxygen. 6bANS: 6bD
Cool, 6bhumidified 6boxygen 6bis 6bgiven 6bto 6brelieve 6bdyspnea, 6bhypoxemia, 6band 6binsensible 6bfluid 6bloss 6bfrom
Tachypnea. 6bThe 6binfant 6bshould 6bbe 6bpositioned 6bwith 6bthe 6bhead 6band 6bchest 6belevated 6bat 6ba 6b30-
6bto 6b40-degree 6bangle 6band 6bthe 6bneck 6bslightly 6bextended 6bto 6bm 6bNat 6bn 6ban 6bopen 6bairway 6band
6bdecrease 6bpressure 6bon 6bthe 6bdiaphragm. 6bThe 6betiology 6bof 6bbronchiolitis 6bis 6bvery 6bl. 6bAnt 6bb
6boptics 6bare 6bgiven 6bonly 6bif 6bthere 6bis 6ba 6bsecondary 6bbacterial 6binfection. 6bTachypnea 6bincreases
6binsensible 6bflu 6bd 6bloss. 6bIf 6bt 6be 6binfant 6bis 6btachypnea, 6bfluids 6bare 6bgiven 6bparenteral 6bto 6bprevent
6bdehydration.
2. An 6binfant 6bwith 6bbronchiolitis 6bis 6bhospitalized. S 6btie 6borganism 6bis 6brespiratory 6bsyncytial
6bThe 6bc 6b(RSV). 6bThe 6bnurse 6bknows 6bthat 6ba 6bchild 6bvirus 6bs 6brequires 6bwhat 6btype 6bof
6binfected 6bwith 6bthis 6bvery 6bisolation?
a. Reverse 6bisolation
b. Airborne 6bisolation
c. Contact 6bPrecautions
d. Standard 6bPrecautions 6bANS: 6bC
,RSV 6bis 6btransmitted 6bthrough 6bdroplets. 6bIn 6baddition 6bto 6bStandard 6bPrecautions 6band 6bhand 6bwashing,
Contact 6bPrecautions 6bare 6brequired. 6bCaregivers 6bmust 6buse 6bgloves 6band 6bgowns 6bwhen 6bentering
6bthe 6broom. 6bCare 6bis 6btaken 6bnot 6bto 6btouch 6btheir 6bown 6beyes 6bor 6bmucous 6bmembranes 6bwith 6ba
6bcontaminated 6bgloved 6bhand. 6bChildren 6bare 6bplaced 6bin 6ba 6bprivate 6broom 6bor 6bin 6ba 6broom 6bwith
6bother 6bchildren 6bwith 6bRSV 6binfections. 6bReverse 6bisolation 6bfocuses 6bon 6bkeeping 6bbacteria 6baway
6bfrom 6bthe 6binfant. 6bWith 6bRSV, 6bother 6bchildren 6bneed 6bto 6bbe 6bprotected 6bfrom 6bexposure 6bto 6bthe
6bvirus. 6bThe 6bvirus 6bis 6bnot 6bairborne.
, Pediatric 6bNursing, 6ba 6bCase-Based 6bApproach, 6b2nd 6bEdition 6bBy 6bTag
6bher 6bKnapp
3. A 6bchild 6bhas 6ba 6bchronic 6bcough 6band 6bdiffuse 6bwheezing 6bduring 6bthe 6bexpiratory 6bphase 6bof
6brespiration. 6bThis 6bsuggests 6bwhat 6bcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign 6bbody 6bin 6btrachea 6bANS: 6bA
Asthma 6bmay 6bhave 6bthese 6bchronic 6bsigns 6bND 6bsymptoms. 6bPneumonia 6bappears 6bwith 6ban 6bacute
onset, 6bfever, 6bAnd 6bgeneral 6bmalaise. 6bBronchiolitis 6bs 6bn 6bacute 6bcondition 6bcaused 6bby
6b
6b respiratory 6bsyncytial
Virus. 6bForeign 6bbody 6bin 6bthe 6btrachea 6boccurs 6bwith 6bace 6be 6brespiratory 6bdistress 6bor 6bfailure 6band 6bmaybe
6bstridor.
4. Which 6bnursing 6bdiagnosis 6bis 6bmost 6bappropriate 6be 6bfor 6ban 6binfant 6bwith 6bacute
6bbronchiolitis 6bdue 6bto 6brespiratory 6bsyncytial 6bvirus 6b(RSV)?
a. Activity 6bIntolerance
b. Decreased 6bCardiac 6bOutput
c. Pain, 6bAcute
d. Tissue 6bPerfusion, 6bIneffective 6b(peripheral) 6bANS. 6bA
Rationale 6b1: 6bActivity 6bintolerance 6bis 6ba 6bproblem 6bbecause 6bof 6bthe 6bimbalance 6bbetween 6boxygen
6bsupply 6band 6bdemand. 6bCardiac 6boutput 6bis 6bnot 6bcompromised 6bduring 6ban 6bacute 6bphase 6bof
6bbronchiolitis. 6bPain 6bis 6bnot 6busually 6bassociated 6bwith 6bacute 6bbronchiolitis. 6bTissue 6bperfusion
6b(peripheral) 6bis 6bnot 6baffected 6bby 6bthis 6brespiratory 6bdisease 6bprocess.
Rationale 6b2: 6bActivity 6bintolerance 6bis 6ba 6bproblem 6bbecause 6bof 6bthe 6bimbalance 6bbetween 6boxygen
6bsupply 6band 6bdemand. 6bCardiac 6boutput 6bis 6bnot 6bcompromised 6bduring 6ban 6bacute 6bphase 6bof
6bbronchiolitis. 6bPain 6bis 6bnot 6busually 6bassociated 6bwith 6bacute 6bbronchiolitis. 6bTissue 6bperfusion
6b(peripheral) 6bis 6bnot 6baffected 6bby 6bthis 6brespiratory 6bdisease 6bprocess.
Rationale 6b3: 6bActivity 6bintolerance 6bis 6ba 6bproblem 6bbecause 6bof 6bthe 6bimbalance 6bbetween 6boxygen
6bsupply 6band 6bdemand. 6bCardiac 6boutput 6bis 6bnot 6bcompromised 6bduring 6ban 6bacute 6bphase 6bof
6bbronchiolitis. 6bPain 6bis 6bnot 6busually 6bassociated 6bwith 6bacute 6bbronchiolitis. 6bTissue 6bperfusion
6b(peripheral) 6bis 6bnot 6baffected 6bby 6bthis 6brespiratory 6bdisease 6bprocess.
