Test Bank For Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,Chapter1:h n Bronchiolitis
1. Whichinterventionh n isappropriateh n forh n h n theinfanthnhospitalizedh n withbronchiolitis?
a. Positiononhnthesideh n withtneckslightlyflexed.
b. Administerantibioticsh n asordered.
c. Restricthnoralandhnparenteralfluidsh n ifh n tachypneic.
d. Givecool,humidifiedoxygen.
NANSWER:hnD
Cool,h n h n humidifiedoxygenh n h n ish n h n givenhntorelievedyspnea,hnhypoxemia,h n h n andinsensiblefluidlossfromttachypne
a.h n Theh n infanth n shouldh n beh n positionedhnwiththeheadandchesth n elevatedath n ahn30-toh n 40-
degreeanglehnandhntheneckhnslightlyextendedhntohnmaintainhnanhnopenairwayandhndecreasehnpressurehn
onthehndiaphnhragm.hnTheetiologyhnofhnbronchiolitishnishnviral.hnAntibioticsaretgivenonlyhnifhnthereh
nishnasecondarhnybacterialtinfhnection.hnTachypneaincreasesinsensiblefluidtloss.hnIfhntheinfanttisttach
ypneic,hnfluidsareghnivenh n parenterallyh n topreventdehydration.
2. Anhninfanthnwithbronchiolitishnishnhospitalized.hnThecausativeorganismhnisrespiratorysyncyt
ialhnviruhnshn(RSV).hnThetnursehnknowsthathnachildinfectedhnwiththishnvirusrequireswhattyp
etofhnishnolation?
a. Reverseisolation
b. Airborneisolation
c. Contacth n Precautions
d. StandardPrecautions
FNANSWER:hnC
RSVhnishntransmittedhnthroughhndroplets.hnInhnadditionhntohnStandardhnPrecautionshnandhnhandhnwashi
ng,hnCohnntacth n Prh n ecautionsh n areh n required.h n Caregiversh n musth n useh n glovesh n andhngownsh n whe
nh n enteringtheh n room
.hnCarehnishntakenhnnothntohntouchtheirhnowneyeshnorhnmucoushnmembranestwithahncontaminatedh n gl
ovehndthand.Childrenareplacedinth n aprivatehnroomhnorhninhnahnroomwithotherhnchildrenhnwithhnRS
Vhninfectihnons.
Reversehnisolationfocusestonkeepingtbacteriaawayfromtheinfant.hnWithh n RSV,h n otherchildrenhnneedhnto
h n beth n protectedfromexposurettoh n thevirus.h n Thevirush n ishnnoth n airborne.
3. Achildhasachroniccoughanddiffusetwheezingtduringtthetexpiratoryphaseh n ofh n respiration.T
hihnsh n suggestshnwhath n condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea
ANSWER:hnA
FN
Asthmah n mayhavettheseh n chronich n signsandhnsymptoms.h n Pneumoniaappearswithtanhnacuteh n onset,h n fever,andt
, gh n eneralmalaise.hn Bronchiolitish n ishn anhnacutetconditionh n causedhnbyrespiratorysyncytial
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,Chapter1:h n Bronchiolitis
1. Whichinterventionh n isappropriateh n forh n h n theinfanthnhospitalizedh n withbronchiolitis?
a. Positiononhnthesideh n withtneckslightlyflexed.
b. Administerantibioticsh n asordered.
c. Restricthnoralandhnparenteralfluidsh n ifh n tachypneic.
d. Givecool,humidifiedoxygen.
NANSWER:hnD
Cool,h n h n humidifiedoxygenh n h n ish n h n givenhntorelievedyspnea,hnhypoxemia,h n h n andinsensiblefluidlossfromttachypne
a.h n Theh n infanth n shouldh n beh n positionedhnwiththeheadandchesth n elevatedath n ahn30-toh n 40-
degreeanglehnandhntheneckhnslightlyextendedhntohnmaintainhnanhnopenairwayandhndecreasehnpressurehn
onthehndiaphnhragm.hnTheetiologyhnofhnbronchiolitishnishnviral.hnAntibioticsaretgivenonlyhnifhnthereh
nishnasecondarhnybacterialtinfhnection.hnTachypneaincreasesinsensiblefluidtloss.hnIfhntheinfanttisttach
ypneic,hnfluidsareghnivenh n parenterallyh n topreventdehydration.
2. Anhninfanthnwithbronchiolitishnishnhospitalized.hnThecausativeorganismhnisrespiratorysyncyt
ialhnviruhnshn(RSV).hnThetnursehnknowsthathnachildinfectedhnwiththishnvirusrequireswhattyp
etofhnishnolation?
a. Reverseisolation
b. Airborneisolation
c. Contacth n Precautions
d. StandardPrecautions
FNANSWER:hnC
RSVhnishntransmittedhnthroughhndroplets.hnInhnadditionhntohnStandardhnPrecautionshnandhnhandhnwashi
ng,hnCohnntacth n Prh n ecautionsh n areh n required.h n Caregiversh n musth n useh n glovesh n andhngownsh n whe
nh n enteringtheh n room
.hnCarehnishntakenhnnothntohntouchtheirhnowneyeshnorhnmucoushnmembranestwithahncontaminatedh n gl
ovehndthand.Childrenareplacedinth n aprivatehnroomhnorhninhnahnroomwithotherhnchildrenhnwithhnRS
Vhninfectihnons.
Reversehnisolationfocusestonkeepingtbacteriaawayfromtheinfant.hnWithh n RSV,h n otherchildrenhnneedhnto
h n beth n protectedfromexposurettoh n thevirus.h n Thevirush n ishnnoth n airborne.
3. Achildhasachroniccoughanddiffusetwheezingtduringtthetexpiratoryphaseh n ofh n respiration.T
hihnsh n suggestshnwhath n condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea
ANSWER:hnA
FN
Asthmah n mayhavettheseh n chronich n signsandhnsymptoms.h n Pneumoniaappearswithtanhnacuteh n onset,h n fever,andt
, gh n eneralmalaise.hn Bronchiolitish n ishn anhnacutetconditionh n causedhnbyrespiratorysyncytial