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

Pediatric Nursing- A Case-
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Based Approach

,Pediatric Nursing- A Case-
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Based Approach

, Pediatric Nursing- A Case- nw nw nw



Based Approach

Chapter 1: Bronchiolitis nw n w




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




b. Administer antibiotics as ordered. nw nw nw



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



. ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss f
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rom tachypnea. The infant should be positioned with the head and chest elevated at a 30-
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to 40-
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degree angle and the neck slightly extended to maintain an open airway and decrease press
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ure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if th
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ere is a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infan
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t is tachypneic, fluids are given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncy
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tial virus (RSV). The nurse knows that a child infected with this virus requires what ty
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pe of isolation?
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a. Reverse isolation nw



b. Airborne isolation nw




c. Contact Precautions nw



d. Standard Precautions nw


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 th
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e room. Care is taken not to touch their own eyes or mucous membranes with a contamina
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ted gloved hand. Children are placed in a private room or in a room with other children w
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ith RSV infections. Reverse isolation focuses on keeping bacteria away from the infant. With
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RSV, other children need to be protected from exposure to the virus. The virus is not airb
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orne.

3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respira
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tion. This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trache nw nw nw



a ANSWER: A
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, Pediatric Nursing- A Case-
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Asthma may have these chronic
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Basedsigns
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Approach
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, fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncyt
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ial