Pediatric Nursing: A Case-Based Approach 1st Edition By Dr. Gannon
Tagher And Dr. Lisa Knapp| Complete Test Bank| Latest Fully
Updated|100% Verified Solutions| Graded A+
, TABLE OF CONTENTS
UNIT 1: SCENARIOS FOR CLINICAL PREPARATION ........................................................................................ 3
CHAPTER 1: CHIP JONES: BRONCHIOLITIS ................................................................................................ 3
CHAPTER 2: MOLLIE SANDERS: ASTHMA ................................................................................................ 15
CHAPTER 3: DAVID TORRES: ULNAR FRACTURE ..................................................................................... 23
CHAPTER 4: ELLIE RAYMORE: URINARY TRACT INFECTION AND PYELONEPHRITIS ................................ 26
CHAPTER 5: MAALIK ABDELLA: GASTROENTERITIS, FEVER, AND DEHYDRATION................................... 35
CHAPTER 6: ABIGAIL HANSON: LEUKEMIA ............................................................................................. 55
CHAPTER 7: CALEB YODER: HEART FAILURE ........................................................................................... 61
CHAPTER 8: ANDREW HOCKTOCHEE: FAILURE TO THRIVE ..................................................................... 67
CHAPTER 9: JESSICA WANG: TONIC-CLONIC SEIZURES ........................................................................... 76
CHAPTER 10: SOPHIA CARTER: DIABETES MELLITUS TYPE 1 .................................................................. 81
CHAPTER 11: CHASE MCGOVERN: SECOND-DEGREE BURNS ................................................................. 87
CHAPTER 12: NATASHA AUSTIN: SICKLE CELL ANEMIA .......................................................................... 91
CHAPTER 13: JACK WRAY: ATTENTION DEFICIT HYPERACTIVITY DISORDER .......................................... 94
CHAPTER 14: ADELAIDE WILSON: OBESITY ............................................................................................. 96
UNIT 2: CARE OF THE DEVELOPING CHILD .................................................................................................. 99
CHAPTER 15: CARE OF THE NEWBORN AND INFANT ............................................................................. 99
CHAPTER 16: CARE OF THE TODDLER ................................................................................................... 108
CHAPTER 17: CARE OF THE PRESCHOOLER ........................................................................................... 117
CHAPTER 18: CARE OF THE SCHOOL-AGE CHILD .................................................................................. 136
CHAPTER 19: CARE OF THE ADOLESCENT ............................................................................................. 144
UNIT 3: CARE OF THE HOSPITALIZED CHILD.............................................................................................. 151
CHAPTER 20: ALTERATIONS IN RESPIRATORY FUNCTION .................................................................... 151
CHAPTER 21: ALTERATIONS IN CARDIAC FUNCTION ............................................................................ 184
CHAPTER 22: ALTERATIONS IN NEUROLOGICAL AND SENSORY FUNCTION ......................................... 200
CHAPTER 23: ALTERATIONS IN GASTROINTESTINAL FUNCTION .......................................................... 210
CHAPTER 24: ALTERATIONS IN GENITOURINARY FUNCTION ............................................................... 225
CHAPTER 25: ALTERATIONS IN HEMATOLOGICAL FUNCTION .............................................................. 241
CHAPTER 26: ONCOLOGICAL DISORDERS ............................................................................................. 258
CHAPTER 27: ALTERATIONS IN MUSCULOSKELETAL FUNCTION .......................................................... 277
CHAPTER 28: ALTERATIONS IN NEUROMUSCULAR FUNCTION ............................................................ 304
CHAPTER 29: ALTERATIONS IN INTEGUMENTARY FUNCTION .............................................................. 321
, CHAPTER 30: ALTERATIONS IN IMMUNE FUNCTION ............................................................................ 349
CHAPTER 31: ALTERATIONS IN ENDOCRINE FUNCTION ....................................................................... 360
CHAPTER 32: GENETIC DISORDERS ....................................................................................................... 388
CHAPTER 33: ALTERATIONS IN COGNITION AND MENTAL HEALTH ..................................................... 403
CHAPTER 34: PEDIATRIC EMERGENCIES ............................................................................................... 427
UNIT 1: SCENARIOS FOR CLINICAL PREPARATION
CHAPTER 1: CHIP JONES: BRONCHIOLITIS
MULTIPLE CHOICE
1. WHICH INTERVENTION IS APPROPRIATE FOR THE INFANT HOSPITALIZED WITH BRONCHIOLITIS?
A. POSITION ON THE SIDE WITH NECK SLIGHTLY FLEXED.
B. ADMINISTER ANTIBIOTICS AS ORDERED.
C. RESTRICT ORAL AND PARENTERAL FLUIDS IF TACHYPNEIC.
D. GIVE COOL, HUMIDIFIED OXYGEN.
ANSWER>>>D
COOL, HUMIDIFIED OXYGEN IS GIVEN TO RELIEVE DYSPNEA, HYPOXEMIA, AND INSENSIBLE FLUID LOSS
FROM TACHYPNEA. THE INFANT SHOULD BE POSITIONED WITH THE HEAD AND CHEST ELEVATED AT A
30- TO 40-DEGREE ANGLE AND THE NECK SLIGHTLY EXTENDED TO MAINTAIN AN OPEN AIRWAY AND
DECREASE PRESSURE ON THE DIAPHRAGM. THE ETIOLOGY OF BRONCHIOLITIS IS VIRAL. ANTIBIOTICS
ARE GIVEN ONLY IF THERE IS A SECONDARY BACTERIAL INFECTION. TACHYPNEA INCREASES INSENSIBLE
FLUID LOSS. IF THE INFANT IS TACHYPNEIC, FLUIDS ARE GIVEN PARENTERALLY TO PREVENT
DEHYDRATION.
2. AN INFANT WITH BRONCHIOLITIS IS HOSPITALIZED. THE CAUSATIVE ORGANISM IS RESPIRATORY
SYNCYTIAL VIRUS (RSV). THE NURSE KNOWS THAT A CHILD INFECTED WITH THIS VIRUS REQUIRES WHAT
TYPE OF ISOLATION?
A. REVERSE ISOLATION
B. AIRBORNE ISOLATION
, C. CONTACT PRECAUTIONS
D. STANDARD PRECAUTIONS
ANSWER>>>C
RSV IS TRANSMITTED THROUGH DROPLETS. IN ADDITION TO STANDARD PRECAUTIONS AND HAND
WASHING, CONTACT PRECAUTIONS ARE REQUIRED. CAREGIVERS MUST USE GLOVES AND GOWNS
WHEN ENTERING THE ROOM. CARE IS TAKEN NOT TO TOUCH THEIR OWN EYES OR MUCOUS
MEMBRANES WITH A CONTAMINATED GLOVED HAND. CHILDREN ARE PLACED IN A PRIVATE ROOM OR
IN A ROOM WITH OTHER CHILDREN WITH RSV INFECTIONS. REVERSE ISOLATION FOCUSES ON KEEPING
BACTERIA AWAY FROM THE INFANT. WITH RSV, OTHER CHILDREN NEED TO BE PROTECTED FROM
EXPOSURE TO THE VIRUS. THE VIRUS IS NOT AIRBORNE.
3. A CHILD HAS A CHRONIC COUGH AND DIFFUSE WHEEZING DURING THE EXPIRATORY PHASE OF
RESPIRATION. THIS SUGGESTS WHAT CONDITION?
A. ASTHMA
B. PNEUMONIA
C. BRONCHIOLITIS
D. FOREIGN BODY IN TRACHEA
ANSWER>>>A
ASTHMA MAY HAVE THESE CHRONIC SIGNS AND SYMPTOMS. PNEUMONIA APPEARS WITH AN ACUTE
ONSET, FEVER, AND GENERAL MALAISE. BRONCHIOLITIS IS AN ACUTE CONDITION CAUSED BY
RESPIRATORY SYNCYTIAL VIRUS. FOREIGN BODY IN THE TRACHEA OCCURS WITH ACUTE RESPIRATORY
DISTRESS OR FAILURE AND MAYBE STRIDOR.
4. WHICH NURSING DIAGNOSIS IS MOST APPROPRIATE FOR AN INFANT WITH ACUTE
BRONCHIOLITIS DUE TO RESPIRATORY SYNCYTIAL VIRUS (RSV)?
A. ACTIVITY INTOLERANCE
B. DECREASED CARDIAC OUTPUT
Tagher And Dr. Lisa Knapp| Complete Test Bank| Latest Fully
Updated|100% Verified Solutions| Graded A+
, TABLE OF CONTENTS
UNIT 1: SCENARIOS FOR CLINICAL PREPARATION ........................................................................................ 3
CHAPTER 1: CHIP JONES: BRONCHIOLITIS ................................................................................................ 3
CHAPTER 2: MOLLIE SANDERS: ASTHMA ................................................................................................ 15
CHAPTER 3: DAVID TORRES: ULNAR FRACTURE ..................................................................................... 23
CHAPTER 4: ELLIE RAYMORE: URINARY TRACT INFECTION AND PYELONEPHRITIS ................................ 26
CHAPTER 5: MAALIK ABDELLA: GASTROENTERITIS, FEVER, AND DEHYDRATION................................... 35
CHAPTER 6: ABIGAIL HANSON: LEUKEMIA ............................................................................................. 55
CHAPTER 7: CALEB YODER: HEART FAILURE ........................................................................................... 61
CHAPTER 8: ANDREW HOCKTOCHEE: FAILURE TO THRIVE ..................................................................... 67
CHAPTER 9: JESSICA WANG: TONIC-CLONIC SEIZURES ........................................................................... 76
CHAPTER 10: SOPHIA CARTER: DIABETES MELLITUS TYPE 1 .................................................................. 81
CHAPTER 11: CHASE MCGOVERN: SECOND-DEGREE BURNS ................................................................. 87
CHAPTER 12: NATASHA AUSTIN: SICKLE CELL ANEMIA .......................................................................... 91
CHAPTER 13: JACK WRAY: ATTENTION DEFICIT HYPERACTIVITY DISORDER .......................................... 94
CHAPTER 14: ADELAIDE WILSON: OBESITY ............................................................................................. 96
UNIT 2: CARE OF THE DEVELOPING CHILD .................................................................................................. 99
CHAPTER 15: CARE OF THE NEWBORN AND INFANT ............................................................................. 99
CHAPTER 16: CARE OF THE TODDLER ................................................................................................... 108
CHAPTER 17: CARE OF THE PRESCHOOLER ........................................................................................... 117
CHAPTER 18: CARE OF THE SCHOOL-AGE CHILD .................................................................................. 136
CHAPTER 19: CARE OF THE ADOLESCENT ............................................................................................. 144
UNIT 3: CARE OF THE HOSPITALIZED CHILD.............................................................................................. 151
CHAPTER 20: ALTERATIONS IN RESPIRATORY FUNCTION .................................................................... 151
CHAPTER 21: ALTERATIONS IN CARDIAC FUNCTION ............................................................................ 184
CHAPTER 22: ALTERATIONS IN NEUROLOGICAL AND SENSORY FUNCTION ......................................... 200
CHAPTER 23: ALTERATIONS IN GASTROINTESTINAL FUNCTION .......................................................... 210
CHAPTER 24: ALTERATIONS IN GENITOURINARY FUNCTION ............................................................... 225
CHAPTER 25: ALTERATIONS IN HEMATOLOGICAL FUNCTION .............................................................. 241
CHAPTER 26: ONCOLOGICAL DISORDERS ............................................................................................. 258
CHAPTER 27: ALTERATIONS IN MUSCULOSKELETAL FUNCTION .......................................................... 277
CHAPTER 28: ALTERATIONS IN NEUROMUSCULAR FUNCTION ............................................................ 304
CHAPTER 29: ALTERATIONS IN INTEGUMENTARY FUNCTION .............................................................. 321
, CHAPTER 30: ALTERATIONS IN IMMUNE FUNCTION ............................................................................ 349
CHAPTER 31: ALTERATIONS IN ENDOCRINE FUNCTION ....................................................................... 360
CHAPTER 32: GENETIC DISORDERS ....................................................................................................... 388
CHAPTER 33: ALTERATIONS IN COGNITION AND MENTAL HEALTH ..................................................... 403
CHAPTER 34: PEDIATRIC EMERGENCIES ............................................................................................... 427
UNIT 1: SCENARIOS FOR CLINICAL PREPARATION
CHAPTER 1: CHIP JONES: BRONCHIOLITIS
MULTIPLE CHOICE
1. WHICH INTERVENTION IS APPROPRIATE FOR THE INFANT HOSPITALIZED WITH BRONCHIOLITIS?
A. POSITION ON THE SIDE WITH NECK SLIGHTLY FLEXED.
B. ADMINISTER ANTIBIOTICS AS ORDERED.
C. RESTRICT ORAL AND PARENTERAL FLUIDS IF TACHYPNEIC.
D. GIVE COOL, HUMIDIFIED OXYGEN.
ANSWER>>>D
COOL, HUMIDIFIED OXYGEN IS GIVEN TO RELIEVE DYSPNEA, HYPOXEMIA, AND INSENSIBLE FLUID LOSS
FROM TACHYPNEA. THE INFANT SHOULD BE POSITIONED WITH THE HEAD AND CHEST ELEVATED AT A
30- TO 40-DEGREE ANGLE AND THE NECK SLIGHTLY EXTENDED TO MAINTAIN AN OPEN AIRWAY AND
DECREASE PRESSURE ON THE DIAPHRAGM. THE ETIOLOGY OF BRONCHIOLITIS IS VIRAL. ANTIBIOTICS
ARE GIVEN ONLY IF THERE IS A SECONDARY BACTERIAL INFECTION. TACHYPNEA INCREASES INSENSIBLE
FLUID LOSS. IF THE INFANT IS TACHYPNEIC, FLUIDS ARE GIVEN PARENTERALLY TO PREVENT
DEHYDRATION.
2. AN INFANT WITH BRONCHIOLITIS IS HOSPITALIZED. THE CAUSATIVE ORGANISM IS RESPIRATORY
SYNCYTIAL VIRUS (RSV). THE NURSE KNOWS THAT A CHILD INFECTED WITH THIS VIRUS REQUIRES WHAT
TYPE OF ISOLATION?
A. REVERSE ISOLATION
B. AIRBORNE ISOLATION
, C. CONTACT PRECAUTIONS
D. STANDARD PRECAUTIONS
ANSWER>>>C
RSV IS TRANSMITTED THROUGH DROPLETS. IN ADDITION TO STANDARD PRECAUTIONS AND HAND
WASHING, CONTACT PRECAUTIONS ARE REQUIRED. CAREGIVERS MUST USE GLOVES AND GOWNS
WHEN ENTERING THE ROOM. CARE IS TAKEN NOT TO TOUCH THEIR OWN EYES OR MUCOUS
MEMBRANES WITH A CONTAMINATED GLOVED HAND. CHILDREN ARE PLACED IN A PRIVATE ROOM OR
IN A ROOM WITH OTHER CHILDREN WITH RSV INFECTIONS. REVERSE ISOLATION FOCUSES ON KEEPING
BACTERIA AWAY FROM THE INFANT. WITH RSV, OTHER CHILDREN NEED TO BE PROTECTED FROM
EXPOSURE TO THE VIRUS. THE VIRUS IS NOT AIRBORNE.
3. A CHILD HAS A CHRONIC COUGH AND DIFFUSE WHEEZING DURING THE EXPIRATORY PHASE OF
RESPIRATION. THIS SUGGESTS WHAT CONDITION?
A. ASTHMA
B. PNEUMONIA
C. BRONCHIOLITIS
D. FOREIGN BODY IN TRACHEA
ANSWER>>>A
ASTHMA MAY HAVE THESE CHRONIC SIGNS AND SYMPTOMS. PNEUMONIA APPEARS WITH AN ACUTE
ONSET, FEVER, AND GENERAL MALAISE. BRONCHIOLITIS IS AN ACUTE CONDITION CAUSED BY
RESPIRATORY SYNCYTIAL VIRUS. FOREIGN BODY IN THE TRACHEA OCCURS WITH ACUTE RESPIRATORY
DISTRESS OR FAILURE AND MAYBE STRIDOR.
4. WHICH NURSING DIAGNOSIS IS MOST APPROPRIATE FOR AN INFANT WITH ACUTE
BRONCHIOLITIS DUE TO RESPIRATORY SYNCYTIAL VIRUS (RSV)?
A. ACTIVITY INTOLERANCE
B. DECREASED CARDIAC OUTPUT
