Updated Latest Test Bank For Pediatric Nursing A Case Based Approach 2nd Edition By Annette M Tadhgher And Carol Knapp Complete Questions And Answers Comprehensive Pediatric Case Based Nursing Child Health Clinical Decision Making Evidence Based

Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp




TES BANK J




Pediatric Nursing, A Case-
Based Approach, 2nd Edition By
Tagher Knapp




Chapter 1: Bronchiolitis

, Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp


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




b. Administerantibiotics asordered. J J J




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




d. Givecool, humidified oxygen. ANS: D J J J J J




Cool, humidified oxygen isgiven to relieve dyspnea, hypoxemia, andinsensible fluidloss from
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tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree angle and
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the neck slightly extended to maintain an open airway and decrease pressure on the diaphragm.
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The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial infection.
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Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are given parenterally to prevent
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dehydration.



2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus
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(RSV). The nurse knows that a child infected with this virus requires what type of isolation?
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a. Reverse isolation J




b. Airborne isolation J




c. Contact Precautions J




d. Standard PrecautionsANS: C J J J




RSVis 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 room. Care is
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taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Children are
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placed in a private room or in a room with other children with RSV infections. Reverse isolation focuses on
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keeping bacteria away from the infant. With RSV, other children need to be protected from exposure to the
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virus. The virus is not airborne.
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, Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp


3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration. This
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suggests what condition?
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a. Asthma

b. Pneumonia



c. Bronchiolitis

d. Foreign body in trachea ANS: A J J J J J




Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever, and
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general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe 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 J




b. Decreased Cardiac Output J J




c. Pain, Acute J




d. TissuePerfusion, Ineffective(peripheral)ANS. A
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Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and demand.
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Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with
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acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratorydisease process.
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Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and demand.
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Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with
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acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratorydisease process.
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Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and demand.
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Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with
J J J J J J J J J J J J J J J J J




acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratorydisease process.
J J J J J J J J J J J

, Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp


Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply and demand.
J J J J J J J J J J J J J J J J




Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with
J J J J J J J J J J J J J J J J J




acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratorydisease process.
J J J J J J J J J J J




Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratorydisease
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process.




Chapter 2: Asthma J J




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

d. Clubbing ANS: A J J




The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability, and
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increased heart and respiratory rate. As the child tires from the increased work of breathing hypoventilation
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occurs leading to increased carbon dioxide levels. The nurse would be alert for signs of hypoxia. Thirst would
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reflect the childs hydration status. Bradycardia is not a sign of hypoxia; tachycardia is. Clubbing develops
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over a period of months in response to hypoxia. The presence of clubbing does not indicate the childs
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condition is worsening. J J