Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Questions And Answers A+GRADED

Test Bank For Pediatric Nursing- A Case-Based
Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters

,
,Chapter 1: Bronchiolitis gi g i




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
gi gi gi gi gi gi gi gi gi



a. Position on the side with neck slightly flexed. gi gi gi gi gi gi gi




b. Administer antibiotics as ordered. gi gi gi



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




d. Give cool, humidified gi gi gi


oxygen. ANSWER: D gi gi


Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from tac
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


hypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


degreeangle and the neck slightly extended to maintain an open airway and decrease pressure on th
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


e diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids aregi
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


ven parenterally to prevent dehydration.
gi gi gi gi




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory sync
gi gi gi gi gi gi gi gi gi gi gi


ytial virus (RSV). The nurse knows that a child infected with this virus requires whattype
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


of isolation?
gi gi



a. Reverse isolation gi



b. Airborne isolation gi




c. Contact Precautions gi



d. Standard Precautions gi gi


ANSWER: C gi



RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Cont
gi gi gi gi gi gi gi gi gi gi gi gi gi


act Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
gi gi gi gi gi gi gi gi gi gi gi gi gi gi g


is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand.Chil
i gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


dren are placed in a private room or in a room with other children with RSV infections.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other children need
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


to be protected from exposure to the virus. The virus is not airborne.
gi gi gi gi gi gi gi gi gi gi gi gi




3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi



This suggests what condition?
gi gi gi




a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in gi gi gi


trachea ANSWER: A gi gi


Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
gi gi gi gi gi gi gi gi gi gi gi

, virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi




4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


respiratory syncytial virus (RSV)? gi gi gi




a. Activity Intolerance gi



b. Decreased Cardiac Output gi gi



c. Pain, Acute gi



d. Tissue Perfusion, Ineffective (peripheral) gi gi gi gi


ANS. A gi


Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply an
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is notu
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


sually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respi
gi gi gi gi gi gi gi gi gi gi gi gi gi


ratory-disease process. gi


Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply an
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


ddemand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respir
gi gi gi gi gi gi gi gi gi gi gi g i gi


atory-disease process. gi


Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply an
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


d demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is notu
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


sually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respi
gi gi gi gi gi gi gi gi gi gi gi gi gi


ratory-disease process. gi


Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply an
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


ddemand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not us
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


ually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respira
gi gi gi gi gi gi gi gi gi gi gi gi gi


tory-disease process. gi


Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen su
gi gi gi gi gi gi gi gi gi gi gi gi gi


pply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
gi gi gi gi gi gi gi gi gi gi gi gi gi gi


is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affectedby t
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi


his respiratory-disease process.
gi gi




Chapter 2: Asthma gi gi




1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessmen
gi gi gi gi gi gi gi gi gi gi gi gi


tfinding suggests that the childs condition is worsening?
gi gi gi gi gi gi gi gi



a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing