Pediatric Nursing- A Case-Based Approach
b b b b b
TEST BANK
b b
Pediatric Nursing- A Case-Based Approach
b b b b b
2nd Edition by Tagher Knapp
b b b b
b Chapters 1 - 34 | All Chapters
b b b b b b
,Pediatric Nursing- A Case-Based Approach
b b b b b
, Pediatric Nursing- A Case-Based Approach b b b b b
Chapter 1: Bronchiolitis b b
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
b b b b b b b b b
a. Position on the side with neck slightly flexed. b b b b b b b
b. Administer antibiotics as ordered. b b b
c. Restrict oral and parenteral fluids if tachypneic.
b b b b b b
d. Give cool, humidified oxygen. b b b
bANSWER: D b
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
b b b b b b b b b b b b b
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
b b b b b b b b b b b b b b b b
bangle and the neck slightly extended to maintain an open airway and decrease pressure on the
b b b b b b b b b b b b b b b
bdiaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
b b b b b b b b b b b b b b
bsecondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
b b b b b b b b b b b
btachypneic, fluids are given parenterally to prevent dehydration.
b b b b b b b
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
b b b b b b b b b b b
virus (RSV). The nurse knows that a child infected with this virus requires what type of
b b b b b b b b b b b b b b b b
isolation?
b
a. Reverse isolation b
b. Airborne isolation b
c. Contact Precautions b
d. Standard Precautions b
bANSWER: C b
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
b b b b b b b b b b b b
bContact Precautions are required. Caregivers must use gloves and gowns when entering the
b b b b b b b b b b b b
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
b b b b b b b b b b b b b b b
bgloved hand. Children are placed in a private room or in a room with other children with RSV
b b b b b b b b b b b b b b b b b
binfections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
b b b b b b b b b b b b b
bchildren need to be protected from exposure to the virus. The virus is not airborne.
b b b b b b b b b b b b b b
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
b b b b b b b b b b b b b b
This suggests what condition?
b b b b
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea b b b
bANSWER: A b
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
b b b b b b b b b b b b b
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
b b b b b b b b b b b b
, Pediatric Nursing- A Case-Based Approach b b b b b
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
b b b b b b b b b b b b b b
stridor.
b
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
b b b b b b b b b b b b b
respiratory syncytial virus (RSV)?
b b b b
a. Activity Intolerance b
b. Decreased Cardiac Output b b
c. Pain, Acute b
d. Tissue Perfusion, Ineffective (peripheral)
b b b
ANS. A
b b
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
b b b b b b b b b b b b
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
b b b b b b b b b b b b b b
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
b b b b b b b b b b b b b
affected by this respiratory-disease process.
b b b b b
Chapter 2: Asthma b b
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
b b b b b b b b b b b b b
suggests that the childs condition is worsening?
b b b b b b b
a. Hypoventilation
b. Thirst
c. Bradycardia
b b b b b
TEST BANK
b b
Pediatric Nursing- A Case-Based Approach
b b b b b
2nd Edition by Tagher Knapp
b b b b
b Chapters 1 - 34 | All Chapters
b b b b b b
,Pediatric Nursing- A Case-Based Approach
b b b b b
, Pediatric Nursing- A Case-Based Approach b b b b b
Chapter 1: Bronchiolitis b b
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
b b b b b b b b b
a. Position on the side with neck slightly flexed. b b b b b b b
b. Administer antibiotics as ordered. b b b
c. Restrict oral and parenteral fluids if tachypneic.
b b b b b b
d. Give cool, humidified oxygen. b b b
bANSWER: D b
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
b b b b b b b b b b b b b
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
b b b b b b b b b b b b b b b b
bangle and the neck slightly extended to maintain an open airway and decrease pressure on the
b b b b b b b b b b b b b b b
bdiaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
b b b b b b b b b b b b b b
bsecondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
b b b b b b b b b b b
btachypneic, fluids are given parenterally to prevent dehydration.
b b b b b b b
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
b b b b b b b b b b b
virus (RSV). The nurse knows that a child infected with this virus requires what type of
b b b b b b b b b b b b b b b b
isolation?
b
a. Reverse isolation b
b. Airborne isolation b
c. Contact Precautions b
d. Standard Precautions b
bANSWER: C b
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
b b b b b b b b b b b b
bContact Precautions are required. Caregivers must use gloves and gowns when entering the
b b b b b b b b b b b b
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
b b b b b b b b b b b b b b b
bgloved hand. Children are placed in a private room or in a room with other children with RSV
b b b b b b b b b b b b b b b b b
binfections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
b b b b b b b b b b b b b
bchildren need to be protected from exposure to the virus. The virus is not airborne.
b b b b b b b b b b b b b b
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
b b b b b b b b b b b b b b
This suggests what condition?
b b b b
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea b b b
bANSWER: A b
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
b b b b b b b b b b b b b
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
b b b b b b b b b b b b
, Pediatric Nursing- A Case-Based Approach b b b b b
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
b b b b b b b b b b b b b b
stridor.
b
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
b b b b b b b b b b b b b
respiratory syncytial virus (RSV)?
b b b b
a. Activity Intolerance b
b. Decreased Cardiac Output b b
c. Pain, Acute b
d. Tissue Perfusion, Ineffective (peripheral)
b b b
ANS. A
b b
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
b b b b b b b b b b b b b
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
b b b b b b b b b b b b b b b
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
b b b b b b b b b b b b b
this respiratory-disease process.
b b b
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
b b b b b b b b b b b b
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
b b b b b b b b b b b b b b
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
b b b b b b b b b b b b b
affected by this respiratory-disease process.
b b b b b
Chapter 2: Asthma b b
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
b b b b b b b b b b b b b
suggests that the childs condition is worsening?
b b b b b b b
a. Hypoventilation
b. Thirst
c. Bradycardia
