TEST BANK Pediatric Nursing: A Case-Based Approach (2ND Ed) by Catherine Gannon Tagher A+ LATEST GUIDE 2024

Test Bank For Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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Chapters 1 - 34 | All Chapters
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Chapter 1: Bronchiolitis m m




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. m m m m m m m




b. Administer antibiotics as ordered. m m m




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




d. Give cool, humidified oxygen. m m m




ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
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mtachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
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mangle and the neck slightly extended to maintain an open airway and decrease pressure on the
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diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
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bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids
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are given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
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mvirus (RSV). The nurse knows that a child infected with this virus requires what type of
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misolation?
a. Reverse isolation m




b. Airborne isolation m




c. Contact Precautions m




d. Standard Precautions m




ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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mContact Precautions are required. Caregivers must use gloves and gowns when entering the
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mroom. Care is taken not to touch their own eyes or mucous membranes with a contaminated
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mgloved hand. Children are placed in a private room or in a room with other children with RSV
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minfections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
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mchildren need to be protected from exposure to the virus. The virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
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mThis suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbody in trachea m m m

, ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
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mfever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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