Pediatric Nursing- A Case-Based Approach
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
Chapter 1: Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypneic.
d. Give cool,
humidified oxygen.
ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and
insensible fluid loss from tachypnea. The infant should be positioned with
the head and chest elevated at a 30- to 40-degree angle and the neck slightly
extended to maintain an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if
there is a secondary bacterial infection. Tachypnea increases insensible fluid
loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is
respiratory syncytial virus (RSV). The nurse knows that a child infected
with this virus requires what type of isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. St
andard
Precautions
ANSWER: C
RSV ais atransmitted athrough adroplets. aIn aaddition ato aStandard aPrecautions
aand ahand awashing, a Contact aPrecautions aare arequired. aCaregivers amust
ause agloves aand agowns awhen aentering athe a room. aCare ais ataken anot ato
atouch atheir aown aeyes aor amucous amembranes awith aa acontaminated
a gloved ahand. aChildren aare aplaced ain aa aprivate aroom aor ain aa aroom
awith aother achildren awith aRSV a infections. aReverse aisolation afocuses aon
akeeping abacteria aaway afrom athe ainfant. aWith aRSV, aother a children aneed
ato abe aprotected afrom aexposure ato athe avirus. aThe avirus ais anot aairborne.
, Pediatric Nursing- A Case-Based Approach
3. A achild ahas aa achronic acough aand adiffuse awheezing aduring athe
aexpiratory aphase aof arespiration. a This asuggests awhat acondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn abody ain
atrachea
a ANSWER: aA
Asthma amay ahave athese achronic asigns aand asymptoms. aPneumonia
aappears awith aan aacute aonset, a fever, aand ageneral amalaise. aBronchiolitis
ais aan aacute acondition a caused aby arespiratory asyncytial
virus. aForeign abody ain athe atrachea aoccurs awith aacute arespiratory adistress
aor afailure aand amaybe a stridor.
4. Which anursing adiagnosis ais amost aappropriate afor aan ainfant awith
aacute abronchiolitis adue ato a respiratory asyncytial avirus a(RSV)?
a. Activity aIntolerance
b. Decreased aCardiac aOutput
c. Pain, aAcute
d. Tissue aPerfusion,
aIneffective a(peripheral)
a ANS. aA
Rationale a1: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
acompromised aduring aan aacute aphase aof abronchiolitis. aPain ais a not
ausually aassociated awith aacute abronchiolitis. aTissue aperfusion a(peripheral)
ais anot aaffected aby a this arespiratory-disease aprocess.
Rationale a2: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
acompromised aduring aan aacute aphase aof abronchiolitis. aPain ais a not
ausually aassociated awith aacute abronchiolitis. aTissue aperfusion a(peripheral)
ais anot aaffected aby a this arespiratory-disease aprocess.
Rationale a3: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
acompromised aduring aan aacute aphase aof abronchiolitis. aPain ais a not
ausually aassociated awith aacute abronchiolitis. aTissue aperfusion a(peripheral)
ais anot aaffected aby a this arespiratory-disease aprocess.
Rationale a4: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
Chapter 1: Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypneic.
d. Give cool,
humidified oxygen.
ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and
insensible fluid loss from tachypnea. The infant should be positioned with
the head and chest elevated at a 30- to 40-degree angle and the neck slightly
extended to maintain an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if
there is a secondary bacterial infection. Tachypnea increases insensible fluid
loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is
respiratory syncytial virus (RSV). The nurse knows that a child infected
with this virus requires what type of isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. St
andard
Precautions
ANSWER: C
RSV ais atransmitted athrough adroplets. aIn aaddition ato aStandard aPrecautions
aand ahand awashing, a Contact aPrecautions aare arequired. aCaregivers amust
ause agloves aand agowns awhen aentering athe a room. aCare ais ataken anot ato
atouch atheir aown aeyes aor amucous amembranes awith aa acontaminated
a gloved ahand. aChildren aare aplaced ain aa aprivate aroom aor ain aa aroom
awith aother achildren awith aRSV a infections. aReverse aisolation afocuses aon
akeeping abacteria aaway afrom athe ainfant. aWith aRSV, aother a children aneed
ato abe aprotected afrom aexposure ato athe avirus. aThe avirus ais anot aairborne.
, Pediatric Nursing- A Case-Based Approach
3. A achild ahas aa achronic acough aand adiffuse awheezing aduring athe
aexpiratory aphase aof arespiration. a This asuggests awhat acondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn abody ain
atrachea
a ANSWER: aA
Asthma amay ahave athese achronic asigns aand asymptoms. aPneumonia
aappears awith aan aacute aonset, a fever, aand ageneral amalaise. aBronchiolitis
ais aan aacute acondition a caused aby arespiratory asyncytial
virus. aForeign abody ain athe atrachea aoccurs awith aacute arespiratory adistress
aor afailure aand amaybe a stridor.
4. Which anursing adiagnosis ais amost aappropriate afor aan ainfant awith
aacute abronchiolitis adue ato a respiratory asyncytial avirus a(RSV)?
a. Activity aIntolerance
b. Decreased aCardiac aOutput
c. Pain, aAcute
d. Tissue aPerfusion,
aIneffective a(peripheral)
a ANS. aA
Rationale a1: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
acompromised aduring aan aacute aphase aof abronchiolitis. aPain ais a not
ausually aassociated awith aacute abronchiolitis. aTissue aperfusion a(peripheral)
ais anot aaffected aby a this arespiratory-disease aprocess.
Rationale a2: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
acompromised aduring aan aacute aphase aof abronchiolitis. aPain ais a not
ausually aassociated awith aacute abronchiolitis. aTissue aperfusion a(peripheral)
ais anot aaffected aby a this arespiratory-disease aprocess.
Rationale a3: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
acompromised aduring aan aacute aphase aof abronchiolitis. aPain ais a not
ausually aassociated awith aacute abronchiolitis. aTissue aperfusion a(peripheral)
ais anot aaffected aby a this arespiratory-disease aprocess.
Rationale a4: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance
abetween aoxygen asupply a and ademand. aCardiac aoutput ais anot
