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Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,PediatricxcNursing-xcAxcCase-BasedxcApproachxc
, PediatricxcNursing-xcAxcCase-BasedxcApproachxc
Chapterxc1:x c Bronchiolitis
1. Whichxcinterventionxcisxcappropriatexcforxcthexcinfantxchospitalizedxcwithxcbronchiolitis?
a. Positionxconxcthexcsidexcwithxcneckxcslightlyxcflexed.
b. Administerxcantibioticsxcasxcordered.
c. Restrictxcoralxcandxcparenteralxcfluidsxcifxctachypneic.
d. Givexccool,xchumidifiedxcoxyge
n.xcANSWER:xcD
Cool,xchumidifiedxcoxygenxcisxcgivenxctoxcrelievexcdyspnea,xchypoxemia,xcandxcinsensiblexcfluidxclossxcfrom
tachypnea.xcThexcinfantxcshouldxcbexcpositionedxcwithxcthexcheadxcandxcchestxcelevatedxcatxcaxc30-
xctoxc40-
degreexcanglexcandxcthexcneckxcslightlyxcextendedxctoxcmaintainxcanxcopenxcairwayxcandxcdecreasexcpre
ssurexconxcthexcdiaphragm.xcThexcetiologyxcofxcbronchiolitisxcisxcviral.xcAntibioticsxcarexcgivenxconlyxci
fxctherexcisxcaxcsecondaryxcbacterialxcinfection.xcTachypneaxcincreasesxcinsensiblexcfluidxcloss.xcIfxcthex
cinfantxcisxctachypneic,xcfluidsxcarexcgivenxcparenterallyxctoxcpreventxcdehydration.
2. Anxcinfantxcwithxcbronchiolitisxcisxchospitalized.xcThexccausativexcorganismxcisxcrespiratoryxcsyn
cytialxcvirusxc(RSV).xcThexcnursexcknowsxcthatxcaxcchildxcinfectedxcwithxcthisxcvirusxcrequiresxcwha
txctypexcofxcisolation?
a. Reversexcisolation
b. Airbornexcisolation
c. ContactxcPrecautions
d. StandardxcPrecaution
sxcANSWER:xcC
RSVxcisxctransmittedxcthroughxcdroplets.xcInxcadditionxctoxcStandardxcPrecautionsxcandxchandxcwashing,
xcContactxcPrecautionsxcarexcrequired.xcCaregiversxcmustxcusexcglovesxcandxcgownsxcwhenxcenteringxct
he
room.xcCarexcisxctakenxcnotxctoxctouchxctheirxcownxceyesxcorxcmucousxcmembranesxcwithxcaxccontamina
tedxcglovedxchand.xcChildrenxcarexcplacedxcinxcaxcprivatexcroomxcorxcinxcaxcroomxcwithxcotherxcchildrenxc
withxcRSVxcinfections.xcReversexcisolationxcfocusesxconxckeepingxcbacteriaxcawayxcfromxcthexcinfant.xc
WithxcRSV,xcotherxcchildrenxcneedxctoxcbexcprotectedxcfromxcexposurexctoxcthexcvirus.xcThexcvirusxcisxcn
otxcairborne.
3. Axcchildxchasxcaxcchronicxccoughxcandxcdiffusexcwheezingxcduringxcthexcexpiratoryxcphasexcofxcresp
iration.xcThisxcsuggestsxcwhatxccondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignxcbodyxcinxctrache
, PediatricxcNursing-xcAxcCase-BasedxcApproachxc
axcANSWER:xcA
Asthmaxcmayxchavexcthesexcchronicxcsignsxcandxcsymptoms.xcPneumoniaxcappearsxcwithxcanxcacutexconset,
fever,xcandxcgeneralxcmalaise.xcBronchiolitisxcisxcanxcacutexcconditionxccausedxcbyxcrespiratoryxcsyncytial