Test Bank For Pediatric Nursing A Case-Based Approach 1st Edition Tagher Knapp By Gannon Tagher; Lisa Knapp 9781496394224 Chapter 1-34 Complete Guide..ppdf

PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp




TEST BANK m




Pediatric Nursing, A Case-
m m m




m Based Approach, 1st Edition By
m m m m m




Tagher Knapp m

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

Chapterm1:mBronchiolitis



1. Whichminterventionmismappropriate mformthe minfantmhospitalizedmwithmbronchiolitis?



a. Positionmonmthe mside mwithmneckmslightlymflexed.

b. Administermantibioticsmasmordered.



c. Restrictmoralmandmparenteralmfluidsmif mtachypneic.

d. Give mcool,mhumidifiedmoxygen.mANS:mD

Cool,mhumidifiedmoxygenmismgivenmtomrelieve mdyspnea,mhypoxemia, mandminsensible mfluidmlossmfrom

tachypnea.mThe minfantmshouldmbe mpositionedmwithmthe mheadmandmchestmelevatedmatmam30-mtom40-
degree manglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressure mo
nmthe mdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmare mgivenmonlymifmthere mismamsecon
darymbacterialminfection.mTachypneamincreasesminsensible mfluidmloss.mIfmtheminfantmismtachypneic,mfluids
m are m givenmparenterally m tom preventm dehydration.




2. Anminfantmwithmbronchiolitismismhospitalized.mThe mcausativemorganismmismrespiratorymsyncytialm
virusm(RSV).mThe mnurse mknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype mof misolation?



a. Reverse misolation

b. Airborne misolation



c. ContactmPrecautions

d. StandardmPrecautionsmANS:mC

RSV mismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,

ContactmPrecautionsmaremrequired.mCaregiversmmustmuse mglovesmandmgownsmwhenmenteringmthe mroom.
m Caremism takenm notm tom touchm theirm ownm eyesm orm mucousm membranes mwithm am contaminated m glovedmhan


d.mChildrenmare mplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSV minfections.mReve
rse misolation

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

focusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothermchildrenmneedmtombemprotected
m frommexposure m tom the m virus. m The m virusm ism notm airborne.




3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphase mofmrespiration
.mThismsuggestsmwhatmcondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignmbodyminmtracheamANS:mA

Asthmammaymhavemthese mchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemo

nset,mfever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratoryms

yncytial



virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailure mandmmaybemstridor.

4. Whichmnursingmdiagnosismismmostmappropriate mformanminfantmwithmacutembronchiolitismdu
e mtomrespiratorymsyncytialmvirusm(RSV)?

a. ActivitymIntolerance

b. DecreasedmCardiacmOutput

c. Pain,mAcute

d. Tissue mPerfusion, mIneffective m(peripheral) mANS.mA

Rationale m1:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.

Rationale m2:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

Rationale m3:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.

Rationale m4:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.

GlobalmRationale:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupply
m andmdemand. mCardiacm outputm ismnotmcompromised mduringmanmacutem phasem of mbronchiolitis. m Painmism not


m usually m associated mwithmacutem bronchiolitis. m Tissue mperfusion m(peripheral) mism notmaffected mbym thism resp

iratory-mdisease mprocess.




Chapterm2:mAsthma



1. The mnurse mismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfi
ndingmsuggestsmthatmthe mchildsmconditionmismworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingmANS:mA



The mnurse mwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness, mfatigue,mirritability,mandmi
ncreasedmheartmandmrespiratorymrate.mAsmthe mchildmtiresmfrommthe mincreasedmworkmofmbreathingmhypoven
tilationmoccursmleadingmtomincreasedmcarbonmdioxide mlevels.mThe mnurse mwouldmbe malertmformsignsmof