TEST BANK for Pediatric Nursing: A Case-Based Approach (2ND Edition) by Tagher A+ LATEST GUIDE 2024

Pediatric Nursing: A Case-Based Approach 2nd Edition by Catherine Gannon Tagher test bank Stuvia Is Available For Download After Purchase. In Case You Encounter Any Difficulties Downloading Test Bank for Pediatric Nursing Tagher, Please Feel Free To Reach Out To Me. I Will Promptly Send It To You Through Google Doc or Email. Thank You. 1. A nurse is providing care for a 4-month-old infant at the pediatric clinic. During the assessment the nurse should expect that the infant has reached which developmental milestone(s)? Select all that apply. A. Uses pincer grasp to pick up items B. Can roll over from front onto back C. Pulls self up to a standing position D. Recognizes family members' faces E. Pushes self up on arms from a prone position F. Sits with support ANS: B, D, E, F Rationale: At 4 months of age, an infant is able to roll over from prone to supine position, push the head/chest up on arms from a prone position, sit with support and recognize the faces of close family members. The use of the pincer grasp and the ability to pull self up to a standing position are expected at 10 months of age. PTS: 1 REF: p. 4 OBJ: 1 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Understand 2. A nurse is assessing a 3-month-old infant during a pediatric clinic visit. The nurse believes the infant is demonstrating early manifestations of respiratory distress. Which clinical manifestation(s) should the nurse document? Select all that apply. A. Bradycardia B. Acrocyanosis C. Intercostal retractions D. Nasal congestion E. Tachypnea ANS: D, E Rationale: Early signs of respiratory distress in an infant include fussiness, nasal congestion, tachypnea and no interest in feeding. Intercostal retractions are signs of moderate distress; bradycardia can be seen with severe respiratory distress. Acrocyanosis, in and of itself, is not a sign of respiratory distress as it can be caused by poor circulation and cold extremities. PTS: 1 REF: p. 8 OBJ: 4 NAT: Client Needs: Physiological Integrity: Physiological Adaptation TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply 3. A nurse is caring for an infant newly admitted for suspected bronchiolitis. The infant's parent is very upset and states "I am so worried about my infant. What can you do to help my infant?" What is the nurse's best response? A. "There is no need to worry; we care for cases like this all the time." B. "I know this is hard for you but do not worry. We will be able to discharge your infant in a few days." C. "No worries; having you hold the infant is very helpful. The infant will be back at home in no time." D. "I know it is difficult to see your infant like this. We will suction your infant and give oxygen to make the infant comfortable. ANS: D Rationale: The option that states that it is difficult to see the infant like this is the only response that explains to the parent what the nurse can do to help the infant and acknowledges the parent's concern. The remaining options recognize the parent's concern but do not answer the parent's question. PTS: 1 REF: p. 10 OBJ: 7 NAT: Client Needs: Psychosocial Integrity TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply 4. A 3-month-old infant is hospitalized with a diagnosis of bronchiolitis. The nurse is creating a plan of care for the infant. Which intervention is a priority? A. Provide parental teaching on the antibiotics the infant will need to take at home. B. Administer oxygen to maintain the infant's oxygen saturation at or above 92%. C. Allow the parents to remain by the infant's side throughout the hospitalization. D. Keep the infant NPO until the condition has resolved. ANS: B Rationale: Therapeutic management of bronchiolitis includes the administration of oxygen to maintain O2 saturation at 92% or higher. Current evidence shows that antibiotics do not improve outcomes in the treatment of bronchiolitis. Infants with bronchiolitis are encouraged to feed as tolerated to maintain nutrition and fluid balance. While it is important for the parents to be allowed to remain at the infant's side, it is not the priority. PTS: 1 REF: p. 14 OBJ: 7 NAT: Client Needs: PhysiNolUogRicSalIINntGeg-riTtyE: PShTysBioAloNgKCAOdaMptation TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply 5. A nurse is caring for an infant admitted with a diagnosis of bronchiolitis. The nurse completes an assessment with the above findings. What is the nurse's priority in providing care to this infant? A. Providing adequate fluids B. Initiating tube feedings C. Administering oxygen D. Administering antipyretics ANS: C Rationale: The priority in providing care for this infant is to administer oxygen to increase the O2 saturation to 92% or higher. Providing the infant adequate fluids and administering antipyretics is also important, but these actions are not the priority. There is no need to initiate tube feedings for this client. PTS: 1 REF: p. 11 OBJ: 8 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Analyze 6. An infant is diagnosed with bronchiolitis. The nurse is teaching the parent of how to use a bulb suction to clear the infant's airway. What is the best way for the nurse to evaluate the effectiveness of the teaching? A. Guide the parent step by step through the procedure. B. Have the parent verbalize each step of the procedure. C. Observe the parent as he/she suctions the infant. D. Provide the parent with written instructions of the procedure. ANS: C Rationale: The best way NfoUr RthSe InuNrGse-tTo EevSaTluBatAe NthKe.pCarOenMt's understanding of the teaching is for the parent to give a return demonstration so the nurse can observe the parent's technique. Having the parent verbalize the steps of the procedure will only tell the nurse that the parent remembered what was said; this does not assess the parent's ability to perform the procedure. Guiding the parent step by step or providing the parent with written instructions will not help the nurse evaluate the parent's understanding. PTS: 1 REF: p. 11 OBJ: 8 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply