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2nd Edition by Tagher Knapp
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Chapters 1 - 34 | All Chapters
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Chapter f1: f Bronchiolitis
1. Which fintervention fis fappropriate ffor fthe finfant fhospitalized fwith fbronchiolitis?
a. Position fon fthe fside fwith fneck fslightly fflexed.
b. Administer fantibiotics fas fordered.
c. Restrict foral fand fparenteral ffluids fif ftachypneic.
d. Give fcool, fhumidified foxygen.
f ANSWER: fD
Cool, fhumidified foxygen fis fgiven fto frelieve fdyspnea, fhypoxemia, fand finsensible ffluid floss ffrom
f tachypnea. fThe finfant fshould fbe fpositioned fwith fthe fhead fand fchest felevated fat fa f30- fto f40-
degree f angle fand fthe fneck fslightly fextended fto fmaintain fan fopen fairway fand fdecrease fpressure
fon fthe f diaphragm. fThe fetiology fof fbronchiolitis fis fviral. fAntibiotics fare fgiven fonly fif fthere fis fa
f secondary fbacterial finfection. fTachypnea fincreases finsensible ffluid floss. fIf fthe finfant fis
f tachypneic, f fluids fare fgiven fparenterally fto fprevent fdehydration.
2. An finfant fwith fbronchiolitis fis fhospitalized. fThe fcausative forganism fis frespiratory
fsyncytial f virus f(RSV). fThe fnurse fknows fthat fa fchild finfected fwith fthis fvirus frequires fwhat
ftype fof f isolation?
a. Reverse fisolation
b. Airborne fisolation
c. Contact fPrecautions
d. Standard fPrecautions
f ANSWER: fC
RSV fis ftransmitted fthrough fdroplets. fIn faddition fto fStandard fPrecautions fand fhand fwashing,
f Contact fPrecautions fare frequired. fCaregivers fmust fuse fgloves fand fgowns fwhen fentering fthe
f room. fCare fis ftaken fnot fto ftouch ftheir fown feyes for fmucous fmembranes fwith fa fcontaminated
f gloved fhand. fChildren fare fplaced fin fa fprivate froom for fin fa froom fwith fother fchildren fwith
fRSV f infections. fReverse fisolation ffocuses fon fkeeping fbacteria faway ffrom fthe finfant. fWith
fRSV, fother f children fneed fto fbe fprotected ffrom fexposure fto fthe fvirus. fThe fvirus fis fnot
f airborne.
3. A fchild fhas fa fchronic fcough fand fdiffuse fwheezing fduring fthe fexpiratory fphase fof
frespiration. f This fsuggests fwhat fcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign fbody fin ftrachea
, fANSWER: fA
Asthma fmay fhave fthese fchronic fsigns fand fsymptoms. fPneumonia fappears fwith fan facute fonset,
f fever, fand fgeneral fmalaise. fBronchiolitis fis fan facute fcondition fcaused fby frespiratory fsyncytial