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 sis stransmitted sthrough sdroplets. sIn saddition sto sStandard sPrecautions
sand shand swashing, s Contact sPrecautions sare srequired. sCaregivers smust
suse sgloves sand sgowns swhen sentering sthe s room. sCare sis staken snot sto
stouch stheir sown seyes sor smucous smembranes swith sa scontaminated
s gloved shand. sChildren sare splaced sin sa sprivate sroom sor sin sa sroom swith
sother schildren swith sRSV s infections. sReverse sisolation sfocuses son
skeeping sbacteria saway sfrom sthe sinfant. sWith sRSV, sother s children sneed
sto sbe sprotected sfrom sexposure sto sthe svirus. sThe svirus sis snot sairborne.
, Pediatric Nursing- A Case-Based Approach
3. A schild shas sa schronic scough sand sdiffuse swheezing sduring sthe
sexpiratory sphase sof srespiration. s This ssuggests swhat scondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn sbody sin
strachea
s ANSWER: sA
Asthma smay shave sthese schronic ssigns sand ssymptoms. sPneumonia sappears
swith san sacute sonset, s fever, sand sgeneral smalaise. sBronchiolitis sis san
sacute scondition scaused sby srespiratory ssyncytial
virus. sForeign sbody sin sthe strachea soccurs swith sacute srespiratory sdistress
sor sfailure sand smaybe s stridor.
4. Which snursing sdiagnosis sis smost sappropriate sfor san sinfant swith
sacute sbronchiolitis sdue sto s respiratory ssyncytial svirus s(RSV)?
a. Activity sIntolerance
b. Decreased sCardiac sOutput
c. Pain, sAcute
d. Tissue sPerfusion,
sIneffective s(peripheral)
s ANS. sA
Rationale s1: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
scompromised sduring san sacute sphase sof sbronchiolitis. sPain sis s not
susually sassociated swith sacute sbronchiolitis. sTissue sperfusion s(peripheral)
sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s2: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
scompromised sduring san sacute sphase sof sbronchiolitis. sPain sis s not
susually sassociated swith sacute sbronchiolitis. sTissue sperfusion s(peripheral)
sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s3: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
scompromised sduring san sacute sphase sof sbronchiolitis. sPain sis s not
susually sassociated swith sacute sbronchiolitis. sTissue sperfusion s(peripheral)
sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s4: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
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 sis stransmitted sthrough sdroplets. sIn saddition sto sStandard sPrecautions
sand shand swashing, s Contact sPrecautions sare srequired. sCaregivers smust
suse sgloves sand sgowns swhen sentering sthe s room. sCare sis staken snot sto
stouch stheir sown seyes sor smucous smembranes swith sa scontaminated
s gloved shand. sChildren sare splaced sin sa sprivate sroom sor sin sa sroom swith
sother schildren swith sRSV s infections. sReverse sisolation sfocuses son
skeeping sbacteria saway sfrom sthe sinfant. sWith sRSV, sother s children sneed
sto sbe sprotected sfrom sexposure sto sthe svirus. sThe svirus sis snot sairborne.
, Pediatric Nursing- A Case-Based Approach
3. A schild shas sa schronic scough sand sdiffuse swheezing sduring sthe
sexpiratory sphase sof srespiration. s This ssuggests swhat scondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Forei
gn sbody sin
strachea
s ANSWER: sA
Asthma smay shave sthese schronic ssigns sand ssymptoms. sPneumonia sappears
swith san sacute sonset, s fever, sand sgeneral smalaise. sBronchiolitis sis san
sacute scondition scaused sby srespiratory ssyncytial
virus. sForeign sbody sin sthe strachea soccurs swith sacute srespiratory sdistress
sor sfailure sand smaybe s stridor.
4. Which snursing sdiagnosis sis smost sappropriate sfor san sinfant swith
sacute sbronchiolitis sdue sto s respiratory ssyncytial svirus s(RSV)?
a. Activity sIntolerance
b. Decreased sCardiac sOutput
c. Pain, sAcute
d. Tissue sPerfusion,
sIneffective s(peripheral)
s ANS. sA
Rationale s1: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
scompromised sduring san sacute sphase sof sbronchiolitis. sPain sis s not
susually sassociated swith sacute sbronchiolitis. sTissue sperfusion s(peripheral)
sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s2: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
scompromised sduring san sacute sphase sof sbronchiolitis. sPain sis s not
susually sassociated swith sacute sbronchiolitis. sTissue sperfusion s(peripheral)
sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s3: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
scompromised sduring san sacute sphase sof sbronchiolitis. sPain sis s not
susually sassociated swith sacute sbronchiolitis. sTissue sperfusion s(peripheral)
sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s4: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance
sbetween soxygen ssupply s and sdemand. sCardiac soutput sis snot
