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