Pediatric Nursing: A Case-Based Approach, 2nd
Edition (2023) by Gannon & Knapp | Complete
Test Bank with Verified Q&A | Latest Edition
,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 tachypnea.
d. Give cool, humidified oxygen. ANS: 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 m Nat n an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is very l. Ant b optics are given only if there is a secondary
bacterial infection. Tachypnea increases insensible flu d loss. If t e infant is tachypnea, fluids are given
parenteral to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The c S tie organism is respiratory syncytial virus
(RSV). The nurse knows that a child infected with this s requires what type of isolation?
very
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. Standard Precautions ANS: C
,RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
Contact Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Children
are placed in a private room or in a room with other children with RSV infections. Reverse isolation
focuses on keeping bacteria away from the infant. With RSV, other children need to be protected from
exposure to the virus. The virus is not airborne.
, Pediatric Nursing, a Case-Based Approach, 2nd Edition By Tag her Knapp
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration. This
suggests what condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ANS: A
Asthma may have these chronic signs ND symptoms. Pneumonia appears with an acute onset, fever,
And general malaise. Bronchiolitis s n acute condition caused by respiratory syncytial
Virus. Foreign body in the trachea occurs with ace e respiratory distress or failure and maybe stridor.
4. Which nursing diagnosis is most appropriate e for an infant with acute bronchiolitis due to
respiratory syncytial virus (RSV)?
a. Activity Intolerance
b. Decreased Cardiac Output
c. Pain, Acute
d. Tissue Perfusion, Ineffective (peripheral) ANS. A
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
respiratory disease process.
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
disease process.
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
respiratory disease process.
Edition (2023) by Gannon & Knapp | Complete
Test Bank with Verified Q&A | Latest Edition
,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 tachypnea.
d. Give cool, humidified oxygen. ANS: 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 m Nat n an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is very l. Ant b optics are given only if there is a secondary
bacterial infection. Tachypnea increases insensible flu d loss. If t e infant is tachypnea, fluids are given
parenteral to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The c S tie organism is respiratory syncytial virus
(RSV). The nurse knows that a child infected with this s requires what type of isolation?
very
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. Standard Precautions ANS: C
,RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
Contact Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Children
are placed in a private room or in a room with other children with RSV infections. Reverse isolation
focuses on keeping bacteria away from the infant. With RSV, other children need to be protected from
exposure to the virus. The virus is not airborne.
, Pediatric Nursing, a Case-Based Approach, 2nd Edition By Tag her Knapp
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration. This
suggests what condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ANS: A
Asthma may have these chronic signs ND symptoms. Pneumonia appears with an acute onset, fever,
And general malaise. Bronchiolitis s n acute condition caused by respiratory syncytial
Virus. Foreign body in the trachea occurs with ace e respiratory distress or failure and maybe stridor.
4. Which nursing diagnosis is most appropriate e for an infant with acute bronchiolitis due to
respiratory syncytial virus (RSV)?
a. Activity Intolerance
b. Decreased Cardiac Output
c. Pain, Acute
d. Tissue Perfusion, Ineffective (peripheral) ANS. A
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
respiratory disease process.
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory
disease process.
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
respiratory disease process.
