2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,Chapter1:FNBronchiolitis
1. Whichintervention FNisappropriate FNforFNtheinfantthospitalized FNwithbronchiolitis?
a. PositionontthesideFNwithtneckslightlyflexed.
b. AdministerantibioticsFNasordered.
c. Restricttoralandtparenteralfluids FNifFNtachypneic.
d. Givetcool,humidifiedoxygen.F
NANSWER:tD
Cool,F N humidifiedoxygen FN isF N giventtorelievedyspnea,thypoxemia,F N andinsensiblefluidlossfromttachypne
a.FNTheFNinfantFNshouldFNbeFNpositionedtwiththeheadandchest FNelevatedatFNat30-toFN40-
degreeangleFNandFNtheneckFNslightlyextendedFNtoFNmaintainFNanFNopenairwayandFNdecreasetpressureFNonthet
diapFNhragm.FNTheetiologyFNofFNbronchiolitisFNisFNviral.FNAntibioticsaretgivenonlyFNifFNthereFNisFNasecondar
ybacterialtinfFNection.FNTachypneaincreasesinsensiblefluidtloss.FNIfFNthetinfanttisttachypneic,FNfluidsaretg
ivenFNparenterallyFNtotpreventdehydration.
2. AnFNinfantFNwithbronchiolitisFNisFNhospitalized.FNThecausativeorganismFNistrespiratorysyncytial
viruFNsFN(RSV).FNThetnurseFNknowstthatFNachildinfectedFNwiththisFNvirustrequireswhatttypetofFNis
olation?
a. Reverseisolation
b. Airborneisolation
c. ContacttFNPrecautions
d. StandardtPrecautions
FNANSWER:tC
RSVFNisttransmittedFNthroughFNdroplets.FNInFNadditionFNtoFNStandardFNPrecautionsFNandFNhandFNwashing,tCo
ntactFNPrFNecautionsFNareFNrequired.FNCaregiversFNmustFNuseFNglovesFNandtgownsFNwhenFNenteringtheFNroom
.FNCareFNisttakenFNnotFNtoFNtouchtheirFNownteyesFNorFNmucousFNmembranestwithtaFNcontaminatedF N glove
dthand.ChildrenaretplacedtintF N aprivateFNroomFNorFNinFNaFNroomwithotherFNchildrenFNwithFNRSVFNinfecti
ons.
Reversetisolationfocusestonkeepingtbacteriaawayfromtheinfant.FNWithFNRSV,FNotherchildrentneedttoFNbetF
N protectedfromexposurettoFNthevirus.FNThevirusFNistnotFNairborne.
3. AchildthasachronictcoughandtdiffusetwheezingtduringtthetexpiratoryphaseFNofFNrespiration.Thi
sFNsuggeststwhatFNcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea
FNANSWER:tA
AsthmaFNmayhavettheseFNchronicFNsignsandtsymptoms.FNPneumoniaappearswithtantacuteFNonset,FNfever,andt
, gFNeneralmalaise.FNBronchiolitisFNisFNantacutetconditionFNcausedFNbyrespiratorysyncytial