Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition Tagher Knapp Test Bank Latest Update 2023| All Chapters Covered| ISBN NO:10,| ISBN NO-13,978-1975209063|

Pediatric Nursing- A Case-Based Approach



TEST BANK
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Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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rt Chapters 1 - 34 | All Chapters
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,Pediatric Nursing- A Case-Based Approach

, Pediatric Nursing- A Case-Based Approach


Chapter 1: Bronchiolitis rt r t




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. rt rt rt rt rt rt rt




b. Administer antibiotics as ordered. rt rt rt




c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen. rt rt rt



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
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secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
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tachypneic, fluids are given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
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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?
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a. Reverse isolation rt



b. Airborne isolation rt




c. Contact Precautions rt



d. Standard Precautions rt



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



ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
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fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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, Pediatric Nursing- A Case-Based Approach

virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
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stridor.
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4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
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respiratory syncytial virus (RSV)?
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a. Activity Intolerance rt



b. Decreased Cardiac Output rt rt



c. Pain, Acute rt



d. Tissue Perfusion, Ineffective (peripheral)
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ANS. A
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Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
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supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
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Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
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affected by this respiratory-disease process.
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Chapter 2: Asthma rt rt




1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
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suggests that the childs condition is worsening?
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a. Hypoventilation
b. Thirst
c. Bradycardia