Test Bank - Pediatric Nursing: A Case-Based Approach,2nd Edition (Tagher, 2024), Chapter 1-34 | All Chapters

Test Bank For Pediatric Nursing- A Case-
hx hx hx hx hx hx




BasedApproach
h
x




2nd Edition by Tagher Knapp
hx hx hx hx




Chapters 1 - 34 | All Chapters
hx hx hx hx hx hx

,
,Chapter 1: Bronchiolitis hx hx




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
hx hx hx hx hx hx hx hx hx



a. Position on the side with neck slightly flexed. hx hx hx hx hx hx hx




b. Administer antibiotics as ordered. hx hx hx



c. Restrict oral and parenteral fluids if tachypneic.
hx hx hx hx hx hx




d. Give cool, hx hx


midifiedoxygen. ANSWER: D
hx hx hx hx


Cool, midified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
hx hx hx hx hx hx hx hx hx hx hx hx hx hx


tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx


degreeangle and the neck slightly extended to maintain an open airway and decrease pressure
hx hx hx hx hx hx hx hx hx hx hx hx hx hx


on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is
hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx


a secondarybacterial infection. Tachypnea increases insensible fluid loss. If the infant is
hx hx hx hx hx hx hx hx hx hx hx hx hx


tachypneic, fluids aregiven parenterally to prevent dehydration.
hx hx hx hx hx hx hx hx




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory
hx hx hx hx hx hx hx hx hx hx


syncytial virus (RSV). The nurse knows that a child infected with this virus
hx hx hx hx hx hx hx hx hx hx hx hx hx


requires whattype of isolation?
hx hx hx hx hx



a. Reverse isolation hx



b. Airborne isolation hx




c. Contact Precautions hx



d. Standard
PrecautionsANSWER: C
hx hx hx



RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
hx hx hx hx hx hx hx hx hx hx hx hx


Contact Precautions are required. Caregivers must use gloves and gowns when entering the
hx hx hx hx hx hx hx hx hx hx hx hx hx


room. Care is taken not to touch their own eyes or mucous membranes with a
hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx


contaminated gloved hand.Children are placed in a private room or in a room with other
hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx


children with RSV infections.
hx hx hx hx


Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other children
hx hx hx hx hx hx hx hx hx hx hx hx hx


needto be protected from exposure to the virus. The virus is not airborne.
hx hx hx hx hx hx hx hx hx hx hx hx hx hx




3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
hx hx hx hx hx hx hx hx hx hx hx hx hx



respiration.This suggests what condition?
hx hx hx hx hx




a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body hx


intrachea ANSWER: A
hx hx hx hx


Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
hx hx hx hx hx hx hx hx hx hx hx hx hx


fever,and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
hx hx hx hx hx hx hx hx hx hx hx hx hx

, virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
hx hx hx hx hx hx hx hx hx hx hx hx hx hx hx




4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis
hx hx hx hx hx hx hx hx hx hx hx


due torespiratory syncytial virus (RSV)?
hx hx hx hx hx hx




a. Activity Intolerance hx



b. Decreased Cardiac Output hx hx



c. Pain, Acute hx



d. Tissue Perfusion, Ineffective
hx hx


(peripheral)ANS. A
hx hx hx


Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen
hx hx hx hx hx hx hx hx hx hx hx hx


supply and demand. Cardiac output is not compromised during an acute phase of
hx hx hx hx hx hx hx hx hx hx hx hx hx


bronchiolitis. Pain is notusually associated with acute bronchiolitis. Tissue perfusion
hx hx hx hx hx hx hx hx hx hx hx


(peripheral) is not affected by this respiratory-disease process.
hx hx hx hx hx hx hx hx


Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen
hx hx hx hx hx hx hx hx hx hx hx hx


supply anddemand. Cardiac output is not compromised during an acute phase of
hx hx hx hx hx hx hx hx hx hx hx hx hx


bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion
hx hx hx hx hx hx hx hx hx hx hx


(peripheral) is not affected by this respiratory-disease process.
hx hx hx hx hx h x hx hx


Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen
hx hx hx hx hx hx hx hx hx hx hx hx


supply and demand. Cardiac output is not compromised during an acute phase of
hx hx hx hx hx hx hx hx hx hx hx hx hx


hxbronchiolitis. Pain is notusually associated with acute bronchiolitis. Tissue perfusion
hx hx hx hx hx hx hx hx hx hx


(peripheral) is not affected by this respiratory-disease process.
hx hx hx hx hx hx hx hx


Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen
hx hx hx hx hx hx hx hx hx hx hx hx


supply anddemand. Cardiac output is not compromised during an acute phase of
hx hx hx hx hx hx hx hx hx hx hx hx hx


bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion
hx hx hx hx hx hx hx hx hx hx hx


(peripheral) is not affected by this respiratory-disease process.
hx hx hx hx hx hx hx hx


Global Rationale: Activity intolerance is a problem because of the imbalance between
hx hx hx hx hx hx hx hx hx hx hx


oxygen supply and demand. Cardiac output is not compromised during an acute phase of
hx hx hx hx hx hx hx hx hx hx hx hx hx hx


bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion
hx hx hx hx hx hx hx hx hx hx hx


(peripheral) is not affectedby this respiratory-disease process.
hx hx hx hx hx hx hx hx




Chapter 2: Asthma hx hx




1. The nurse is caring for a child hospitalized for status asthmaticus. Which
hx hx hx hx hx hx hx hx hx hx hx


assessmentfinding suggests that the childs condition is worsening?
hx hx hx hx hx hx hx hx hx



a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing