TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters

Pediatric Nursing- A Case-Based Approach
h h h h




TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters

,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach
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Chapterh1:h Bronchiolitis



1. Whichhinterventionhishappropriatehforhthehinfanthhospitalizedhwithhbronchiolitis?
a. Positionhonhthehsidehwithhneckhslightlyhflexed.
b. Administerhantibioticshashordered.
c. Restricthoralhandhparenteralhfluidshifhtachypneic.
d. Givehcool,hhumidifiedhoxygen.h
ANSWER:hD
Cool,hhumidifiedhoxygenhishgivenhtohrelievehdyspnea,hhypoxemia,handhinsensiblehfluidhlosshfromh t
achypnea.hThehinfanthshouldhbehpositionedhwithhthehheadhandhchesthelevatedhathah30-htoh40-
degreeh anglehandhthehneckhslightlyhextendedhtohmaintainhanhopenhairwayhandhdecreasehpressure
honhtheh diaphragm.hThehetiologyhofhbronchiolitishishviral.hAntibioticsharehgivenhonlyhifhtherehishah s


econdaryhbacterialhinfection.hTachypneahincreaseshinsensiblehfluidhloss.hIfhthehinfanthish tachypnei
c,hfluidsharehgivenhparenterallyhtohpreventhdehydration.

2. Anhinfanthwithhbronchiolitishishhospitalized.hThehcausativehorganismhishrespiratoryhsyncytial
h virush(RSV).hThehnursehknowshthathahchildhinfectedhwithhthishvirushrequireshwhathtypehofh isol


ation?
a. Reversehisolation
b. Airbornehisolation
c. ContacthPrecautions
d. StandardhPrecaution
sh ANSWER:hC
RSVhishtransmittedhthroughhdroplets.hInhadditionhtohStandardhPrecautionshandhhandhwashing,h Co
ntacthPrecautionsharehrequired.hCaregivershmusthusehgloveshandhgownshwhenhenteringhtheh roo
m.hCarehishtakenhnothtohtouchhtheirhownheyeshorhmucoushmembraneshwithhahcontaminatedh glov
edhhand.hChildrenharehplacedhinhahprivatehroomhorhinhahroomhwithhotherhchildrenhwithhRSVh infect
ions.hReversehisolationhfocuseshonhkeepinghbacteriahawayhfromhthehinfant.hWithhRSV,hotherh child
renhneedhtohbehprotectedhfromhexposurehtohthehvirus.hThehvirushishnothairborne.

3. Ahchildhhashahchronichcoughhandhdiffusehwheezinghduringhthehexpiratoryhphasehofhrespiration.
h Thishsuggestshwhathcondition?



a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignhbodyhinhtrache

, Pediatric Nursing- A Case-Based Approach
h h h h

ah ANSWER:hA
Asthmahmayhhavehthesehchronichsignshandhsymptoms.hPneumoniahappearshwithhanhacutehonset,h
fever,handhgeneralhmalaise.hBronchiolitishishanhacutehconditionhcausedhbyhrespiratoryhsyncytial