Pediatric Nursing – A Case-Based Approach, 2nd Edition by Tagher & Knapp – Complete Test Bank for Chapters 1–34

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?
e e e e e e e e e




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




b. Administer antibiotics as ordered. e e e




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




d. Givecool,humidifiedoxygen. e e e e




ANSWER: D e




Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
e e e e e e e e e e e e e




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




angle and the neck slightly extended to maintain an open airway and decrease pressure on the
e e e e e e e e e e e e e e e e




diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary
e e e e e e e e e e e e e e e e




bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
e e e e e e e e e e e e e e




given parenterally to prevent dehydration.
e e e e




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratorysyncytial
e e e e e e e e e e e e




virus (RSV). The nurse knows that a child infected with this virus requires what type of
e e e e e e e e e e e e e e e e




isolation?
a. Reverse isolation e




b. Airborne isolation e




c. Contact Precautions e




d. StandardPrecautions e e




ANSWER: C e




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




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




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




hand. Children are placed in a private room or in a room with other children with RSV infections.
e e e e e e e e e e e e e e e e e e




Reverse isolation focuses on keeping bacteria awayfrom the infant. With RSV, other children need to
e e e e e e e e e e e e e e e e




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




3. A child has a chronic cough and diffuse wheezing during the expiratoryphase of respiration.
e e e e e e e e e e e e e e e




This suggests what condition?
e e e




a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea e e e e




ANSWER: A e




Asthma mayhave these chronic signs and symptoms. Pneumonia appears with an acute onset,
e e e e e e e e e e e e e




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

, Pediatric Nursing- A Case-Based Approach

virus. Foreign body in the trachea occurs with acute respiratorydistress or failure and maybe stridor.
e e e e e e e e e e e e e e e




4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
e e e e e e e e e e e e e e




respiratory syncytial virus (RSV)? e e e




a. Activity Intolerance e




b. Decreased Cardiac Output e e




c. Pain, Acute e




d. TissuePerfusion, Ineffective(peripheral)
e e e e




ANS. A e




Rationale 1: Activityintolerance is a problem because of the imbalance between oxygen supply and
e e e e e e e e e e e e e e e




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
e e e e e e e e e e e e e e e




usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
e e e e e e e e e e e e e




respiratory-disease process. e




Rationale 2: Activityintolerance is a problem because of the imbalance between oxygen supply and
e e e e e e e e e e e e e e e




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
e e e e e e e e e e e e e e e




usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
e e e e e e e e e e e e e




respiratory-disease process. e




Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and
e e e e e e e e e e e e e e e




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
e e e e e e e e e e e e e e e




usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
e e e e e e e e e e e e e




respiratory-disease process. e




Rationale 4: Activityintolerance is a problem because of the imbalance between oxygen supply and
e e e e e e e e e e e e e e e




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
e e e e e e e e e e e e e e e




usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
e e e e e e e e e e e e e




respiratory-disease process. e




Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply
e e e e e e e e e e e e e




and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
e e e e e e e e e e e e e e e e e




usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
e e e e e e e e e e e e e




respiratory-disease process. e




Chapter 2: Asthma e e




1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
e e e e e e e e e e e e e e




suggests that the childs condition is worsening?
e e e e e e




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