Pediatric Nursing- A Case-Based Approach
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TEST BANK
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Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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bbChapters 1 - 34 | All Chapters
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,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach bb bb bb bb bb
Chapter 1: bb b b Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. bb bb bb bb bb bb bb
b. Administer antibiotics as ordered. bb bb bb
c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified bb bb
oxygen. ANSWER: D
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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
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pressure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given
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only if there is a secondary bacterial infection. Tachypnea increases insensible fluid loss.
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If the infant 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
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syncytial virus (RSV). The nurse knows that a child infected with this virus requires
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what type of isolation?
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a. Reverse isolation bb
b. Airborne isolation bb
c. Contact Precautions bb
d. Standard Precautions bb
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 the
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room. Care is taken not to touch their own eyes or mucous membranes with a
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contaminated gloved hand. Children are placed in a private room or in a room with other
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children with RSV infections. Reverse isolation focuses on keeping bacteria away from the
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infant. With RSV, other children need to be protected from exposure to the virus. The
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virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
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respiration. This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea bb bb bb
ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
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, Pediatric Nursing- A Case-Based Approach
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fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
bb bb bb bb bb bb bb bb bb bb bb bb
bb bb bb bb bb
TEST BANK
bb bb
Pediatric Nursing- A Case-Based Approach
bb bb bb bb bb
2nd Edition by Tagher Knapp
bb bb bb bb
bbChapters 1 - 34 | All Chapters
bb bb bb bb bb bb
,Pediatric Nursing- A Case-Based Approach
bb bb bb bb bb
, Pediatric Nursing- A Case-Based Approach bb bb bb bb bb
Chapter 1: bb b b Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
bb bb bb bb bb bb bb bb bb
a. Position on the side with neck slightly flexed. bb bb bb bb bb bb bb
b. Administer antibiotics as ordered. bb bb bb
c. Restrict oral and parenteral fluids if tachypneic.
bb bb bb bb bb bb
d. Give cool, humidified bb bb
oxygen. ANSWER: D
bb bb bb
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
bb bb bb bb bb bb bb bb bb bb bb bb bb
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
degree angle and the neck slightly extended to maintain an open airway and decrease
bb bb bb bb bb bb bb bb bb bb bb bb bb
pressure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given
bb bb bb bb bb bb bb bb bb bb bb bb bb
only if there is a secondary bacterial infection. Tachypnea increases insensible fluid loss.
bb bb bb bb bb bb bb bb bb bb bb bb bb
If the infant is tachypneic, fluids are given parenterally to prevent dehydration.
bb bb bb bb bb bb bb bb bb bb bb bb
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory
bb bb bb bb bb bb bb bb bb bb
syncytial virus (RSV). The nurse knows that a child infected with this virus requires
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
what type of isolation?
bb bb bb bb
a. Reverse isolation bb
b. Airborne isolation bb
c. Contact Precautions bb
d. Standard Precautions bb
ANSWER: C
bb bb
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 the
bb bb bb bb bb bb bb bb bb bb bb bb bb
room. Care is taken not to touch their own eyes or mucous membranes with a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
contaminated gloved hand. Children are placed in a private room or in a room with other
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
children with RSV infections. Reverse isolation focuses on keeping bacteria away from the
bb bb bb bb bb bb bb bb bb bb bb bb bb
infant. With RSV, other children need to be protected from exposure to the virus. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
bb bb bb bb bb bb bb bb bb bb bb bb bb
respiration. This suggests what condition?
bb bb bb bb bb
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea bb bb bb
ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
bb bb bb bb bb bb bb bb bb bb bb bb bb
, Pediatric Nursing- A Case-Based Approach
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fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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