Pediatric Nursing- A Case-Based Approach
sd sd sd sd sd
TEST BANK
sd sd
Pediatric Nursing- A Case-Based Approach
sd sd sd sd sd
2nd Edition by Tagher Knapp
sd sd sd sd
sd Chapters 1 - 34 | All Chapters
sd sd sd sd sd sd
,Pediatric Nursing- A Case-Based Approach
sd sd sd sd sd
, Pediatric Nursing- A Case-Based Approach sd sd sd sd sd
Chapter 1: Bronchiolitis sd s d
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
sd sd sd sd sd sd sd sd sd
a. Position on the side with neck slightly flexed. sd sd sd sd sd sd sd
b. Administer antibiotics as ordered. sd sd sd
c. Restrict oral and parenteral fluids if tachypneic. sd sd sd sd sd sd
d. Give cool, humidified oxygen. sd sd sd
ANSWER: D
sd sd
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
sd sd sd sd sd sd sd sd sd sd sd sd sd
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
sd sd sd sd sd sd sd sd sd sd sd sd
tachypneic, fluids are given parenterally to prevent dehydration.
sd sd sd sd sd sd sd sd
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
sd sd sd sd sd sd sd sd sd sd sd
virus (RSV). The nurse knows that a child infected with this virus requires what type of
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
isolation?
sd
a. Reverse isolation sd
b. Airborne isolation sd
c. Contact Precautions sd
d. Standard Precautions sd
ANSWER: C
sd sd
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
sd sd sd sd sd sd sd sd sd sd sd sd
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
sd sd sd sd sd sd sd sd sd sd sd sd sd
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
gloved hand. Children are placed in a private room or in a room with other children with RSV
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
children need to be protected from exposure to the virus. The virus is not airborne.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
This suggests what condition?
sd sd sd sd
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea sd sd sd
ANSWER: A
sd sd
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
sd sd sd sd sd sd sd sd sd sd sd sd sd
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
sd sd sd sd sd sd sd sd sd sd sd sd
, Pediatric Nursing- A Case-Based Approach sd sd sd sd sd
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
stridor.
sd
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
sd sd sd sd sd sd sd sd sd sd sd sd sd
respiratory syncytial virus (RSV)?
sd sd sd sd
a. Activity Intolerance sd
b. Decreased Cardiac Output sd sd
c. Pain, Acute sd
d. Tissue Perfusion, Ineffective (peripheral)
sd sd sd
ANS. A
sd sd
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
sd sd sd sd sd sd sd sd sd sd sd sd
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
sd sd sd sd sd sd sd sd sd sd sd sd sd
affected by this respiratory-disease process.
sd sd sd sd sd
Chapter 2: Asthma sd sd
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
sd sd sd sd sd sd sd sd sd sd sd sd sd
suggests that the childs condition is worsening?
sd sd sd sd sd sd sd
a. Hypoventilation
b. Thirst
c. Bradycardia
sd sd sd sd sd
TEST BANK
sd sd
Pediatric Nursing- A Case-Based Approach
sd sd sd sd sd
2nd Edition by Tagher Knapp
sd sd sd sd
sd Chapters 1 - 34 | All Chapters
sd sd sd sd sd sd
,Pediatric Nursing- A Case-Based Approach
sd sd sd sd sd
, Pediatric Nursing- A Case-Based Approach sd sd sd sd sd
Chapter 1: Bronchiolitis sd s d
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
sd sd sd sd sd sd sd sd sd
a. Position on the side with neck slightly flexed. sd sd sd sd sd sd sd
b. Administer antibiotics as ordered. sd sd sd
c. Restrict oral and parenteral fluids if tachypneic. sd sd sd sd sd sd
d. Give cool, humidified oxygen. sd sd sd
ANSWER: D
sd sd
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
sd sd sd sd sd sd sd sd sd sd sd sd sd
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
sd sd sd sd sd sd sd sd sd sd sd sd
tachypneic, fluids are given parenterally to prevent dehydration.
sd sd sd sd sd sd sd sd
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
sd sd sd sd sd sd sd sd sd sd sd
virus (RSV). The nurse knows that a child infected with this virus requires what type of
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
isolation?
sd
a. Reverse isolation sd
b. Airborne isolation sd
c. Contact Precautions sd
d. Standard Precautions sd
ANSWER: C
sd sd
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
sd sd sd sd sd sd sd sd sd sd sd sd
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
sd sd sd sd sd sd sd sd sd sd sd sd sd
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
gloved hand. Children are placed in a private room or in a room with other children with RSV
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
children need to be protected from exposure to the virus. The virus is not airborne.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
This suggests what condition?
sd sd sd sd
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea sd sd sd
ANSWER: A
sd sd
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
sd sd sd sd sd sd sd sd sd sd sd sd sd
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
sd sd sd sd sd sd sd sd sd sd sd sd
, Pediatric Nursing- A Case-Based Approach sd sd sd sd sd
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
stridor.
sd
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
sd sd sd sd sd sd sd sd sd sd sd sd sd
respiratory syncytial virus (RSV)?
sd sd sd sd
a. Activity Intolerance sd
b. Decreased Cardiac Output sd sd
c. Pain, Acute sd
d. Tissue Perfusion, Ineffective (peripheral)
sd sd sd
ANS. A
sd sd
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
sd sd sd sd sd sd sd sd sd sd sd sd sd
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
sd sd sd sd sd sd sd sd sd sd sd sd sd
this respiratory-disease process.
sd sd sd
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
sd sd sd sd sd sd sd sd sd sd sd sd
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
sd sd sd sd sd sd sd sd sd sd sd sd sd
affected by this respiratory-disease process.
sd sd sd sd sd
Chapter 2: Asthma sd sd
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
sd sd sd sd sd sd sd sd sd sd sd sd sd
suggests that the childs condition is worsening?
sd sd sd sd sd sd sd
a. Hypoventilation
b. Thirst
c. Bradycardia
