Pediatric Nursing: A Case-Based Approach – 1st Edition (Latest Updated Version / Test Bank or Study Resource)

,TABLE OF CONTENT4 4


 Unit 1: Scenarios for Clinical Preparation
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o Chapter 1: Chip Jones: Bronchiolitis
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o Chapter 2: Mollie Sanders: Asthma
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o Chapter 3: David Torres: Ulnar Fracture
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o Chapter 4: Ellie Raymore: Urinary Tract Infection and Pyelonephritis
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o Chapter 5: Maalik Abdella: Gastroenteritis, Fever, and Dehydration
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o Chapter 6: Abigail Hanson: Leukemia
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o Chapter 7: Caleb Yoder: Heart Failure
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o Chapter 8: Andrew Hocktochee: Failure to Thrive
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o Chapter 9: Jessica Wang: Tonic-Clonic Seizures
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o Chapter 10: Sophia Carter: Diabetes Mellitus Type 1
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o Chapter 11: Chase McGovern: Second-Degree Burns
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o Chapter 12: Natasha Austin: Sickle Cell Anemia
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o Chapter 13: Jack Wray: Attention Deficit Hyperactivity Disorder
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o Chapter 14: Adelaide Wilson: Obesity
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 Unit 2: Care of the Developing Child
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o Chapter 15: Care of the Newborn and Infant
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o Chapter 16: Care of the Toddler
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o Chapter 17: Care of the Preschooler
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o Chapter 18: Care of the School-Age Child
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o Chapter 19: Care of the Adolescent
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 Unit 3: Care of the Hospitalized Child
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o Chapter 20: Alterations in Respiratory Function
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o Chapter 21: Alterations in Cardiac Function
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o Chapter 22: Alterations in Neurological and Sensory Function
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o Chapter 23: Alterations in Gastrointestinal Function
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o Chapter 24: Alterations in Genitourinary Function
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o Chapter 25: Alterations in Hematological Function
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o Chapter 26: Oncological Disorders
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o Chapter 27: Alterations in Musculoskeletal Function
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o Chapter 28: Alterations in Neuromuscular Function
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o Chapter 29: Alterations in Integumentary Function
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o Chapter 30: Alterations in Immune Function
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o Chapter 31: Alterations in Endocrine Function
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o Chapter 32: Genetic Disorders
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o Chapter 33: Alterations in Cognition and Mental Health
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o Chapter 34: Pediatric Emergencies
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,Chapter 1: Bronchiolitis 4 4




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. 4 4 4 4 4 4 4



b. Administer antibiotics as ordered. 4 4 4



c. Restrict oral and parenteral fluids if tachypneic. 4 4 4 4 4 4



d. Give cool, humidified oxygen. 4 4 4 4



ANS: D 4


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-
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degree angle and the neck slightly extended to maintain an open airway and decrease pressure on th
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e diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
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bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypnea, fluids are gi
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ven parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial vi
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rus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?
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a. Reverse isolation 4



b. Airborne isolation 4



c. Contact Precautions 4



d. Standard Precautions 4



4ANS: C 4


RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Contact
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4Precautions 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 gloved h
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and. Children are placed in a private room or in a room with other children with RSV infections. Rev
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erse isolation focuses on keeping bacteria away from the infant. With RSV, other children need to be
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4protected 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. Th
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is suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis

, d. Foreign body in trachea
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ANS: 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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