Test Bank For Pediatric Nursing: A Case-Based Approach 2nd (Second) Edition by GANNON TAGHER and LISA KNAPP

Pediatric Nursing- A Case-Based Approach
r r r r r




TEST BANK
r r




Pediatric Nursing- A Case-Based Approach
r r r r r




2nd Edition by Tagher Knapp
r r r r




r Chapters 1 - 34 | All Chapters
r r r r r r

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

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




Chapter 1: Bronchiolitis r r




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



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




b. Administer antibiotics as ordered. r r r



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




d. Give cool, humidified oxygen. r r r



ANSWER: D
r r


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



tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
r r r r r r r r r r r r r r r r



angle and the neck slightly extended to maintain an open airway and decrease pressure on the
r r r r r r r r r r r r r r r r


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



bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
r r r r r r r r r r r r r r



given parenterally to prevent dehydration.
r r r r r




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
r r r r r r r r r r r


virus (RSV). The nurse knows that a child infected with this virus requires what type of
r r r r r r r r r r r r r r r r


isolation?
r



a. Reverse isolation r



b. Airborne isolation r




c. Contact Precautions r



d. Standard Precautions r



ANSWER: C
r r


RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Contact
r r r r r r r r r r r r r



Precautions are required. Caregivers must use gloves and gowns when entering the
r r r r r r r r r r r r


room. Care is taken not to touch their own eyes or mucous membranes with a contaminated gloved
r r r r r r r r r r r r r r r r



hand. Children are placed in a private room or in a room with other children with RSV infections.
r r r r r r r r r r r r r r r r r r



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



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




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



This suggests what condition?
r r r r



a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea r r r



ANSWER: A
r r



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


fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
r r r r r r r r r r r r

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




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




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



respiratory syncytial virus (RSV)?
r r r r




a. Activity Intolerance r



b. Decreased Cardiac Output r r


c. Pain, Acute r



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



ANS. A
r r



Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and
r r r r r r r r r r r r r r



demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
r r r r r r r r r r r r r r r


usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
r r r r r r r r r r r r r



respiratory-disease process.
r r



Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and
r r r r r r r r r r r r r r


demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
r r r r r r r r r r r r r r r



usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
r r r r r r r r r r r r r


respiratory-disease process.
r r



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


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



usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
r r r r r r r r r r r r r


respiratory-disease process.
r r



Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply and
r r r r r r r r r r r r r r



demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
r r r r r r r r r r r r r r r



usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
r r r r r r r r r r r r r


respiratory-disease process.
r r


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



supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
r r r r r r r r r r r r r r



Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
r r r r r r r r r r r r r r


by this respiratory-disease process.
r r r r




Chapter 2: Asthma r r




1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
r r r r r r r r r r r r r



suggests that the childs condition is worsening?
r r r r r r r



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