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TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters

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Pediatric Nursing: A Case-Based Approach 2nd Edition by Catherine Gannon Tagher test bank Stuvia Is Available For Download After Purchase. In Case You Encounter Any Difficulties Downloading Test Bank for Pediatric Nursing Tagher, Please Feel Free To Reach Out To Me. I Will Promptly Send It To You Through Google Doc or Email. Thank You. Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by Tagher is your ultimate study aid. This comprehensive Test Bank Pediatric Nursing resource is designed to enhance your learning and exam preparation. It includes a wide range of pediatric nursing exam prep materials and detailed case-based questions. With this Tagher Pediatric Nursing Test Bank, you get access to practice questions that simulate real exams. The pediatric nursing test bank second edition covers all chapters thoroughly, ensuring you grasp every concept. The test bank for pediatric nursing features various question types to test your knowledge effectively. This study guide is ideal for anyone looking to excel in pediatric nursing exams. Use the pediatric nursing case studies test bank to deepen your understanding and improve your critical thinking skills. Whether you are preparing for exams or looking to reinforce your learning, this Pediatric Nursing Test Bank 2024 is an essential tool for success. Maximize your study sessions with the pediatric nursing study guide 2nd edition and confidently tackle any pediatric nursing questions and answers. 1. A nurse is providing care for a 4-month-old infant at the pediatric clinic. During the assessment the nurse should expect that the infant has reached which developmental milestone(s)? Select all that apply. A. Uses pincer grasp to pick up items B. Can roll over from front onto back C. Pulls self up to a standing position D. Recognizes family members' faces E. Pushes self up on arms from a prone position F. Sits with support ANS: B, D, E, F Rationale: At 4 months of age, an infant is able to roll over from prone to supine position, push the head/chest up on arms from a prone position, sit with support and recognize the faces of close family members. The use of the pincer grasp and the ability to pull self up to a standing position are expected at 10 months of age. PTS: 1 REF: p. 4 OBJ: 1 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Understand 2. A nurse is assessing a 3-month-old infant during a pediatric clinic visit. The nurse believes the infant is demonstrating early manifestations of respiratory distress. Which clinical manifestation(s) should the nurse document? Select all that apply. A. Bradycardia B. Acrocyanosis C. Intercostal retractions D. Nasal congestion E. Tachypnea ANS: D, E Rationale: Early signs of respiratory distress in an infant include fussiness, nasal congestion, tachypnea and no interest in feeding. Intercostal retractions are signs of moderate distress; bradycardia can be seen with severe respiratory distress. Acrocyanosis, in and of itself, is not a sign of respiratory distress as it can be caused by poor circulation and cold extremities. PTS: 1 REF: p. 8 OBJ: 4 NAT: Client Needs: Physiological Integrity: Physiological Adaptation TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply 3. A nurse is caring for an infant newly admitted for suspected bronchiolitis. The infant's parent is very upset and states

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PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp




TESTBANK
PediatricNursing,ACase-Based
Approach,1stEditionByTagher
Knapp

, PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp


Chapter1:Bronchiolitis



1. Whichinterventionisappropriatefortheinfanthospitalizedwithbronchiolitis?



a. Positiononthesidewithneckslightlyflexed.

b. Administerantibioticsasordered.



c. Restrictoralandparenteralfluidsiftachypneic.

d. Givecool,humidifiedoxygen.ANS:D

Cool,humidifiedoxygenisgiventorelievedyspnea,hypoxemia,andinsensiblefluidlossfrom

tachypnea.Theinfantshouldbepositionedwiththeheadandchestelevatedata30-to40-degreeangle andthe
neck slightly extended to maintain an open airway and decrease pressure on the diaphragm. The etiology of
bronchiolitisisviral.Antibioticsaregivenonlyifthereisasecondarybacterialinfection.
Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are givenparenterally to
preventdehydration.



2. Aninfantwithbronchiolitisishospitalized.Thecausativeorganismisrespiratorysyncytial
virus(RSV).Thenurseknows that achildinfectedwiththisvirusrequireswhattypeofisolation?
b




a. Reverseisolation

b. Airborneisolation



c. ContactPrecautions

d. StandardPrecautionsANS:C

RSVistransmittedthroughdroplets.InadditiontoStandardPrecautionsandhandwashing,

ContactPrecautionsarerequired.Caregiversmustuseglovesandgownswhenenteringtheroom.Careis taken
not to touch their own eyes or mucous membranes with a contaminated gloved hand. Childrenare placed in
aprivateroomor ina roomwithotherchildren withRSVinfections.Reverse isolation

, PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp


focusesonkeepingbacteriaawayfromtheinfant.WithRSV,otherchildrenneedtobeprotected
fromexposure to thevirus. Thevirus is not airborne.



3. Achildhasachroniccoughanddiffusewheezingduringtheexpiratoryphaseofrespiration.
Thissuggestswhatcondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignbodyintracheaANS:A

Asthmamayhavethesechronicsignsandsymptoms.Pneumoniaappearswithanacute onset,fever,

andgeneralmalaise.Bronchiolitisisanacuteconditioncausedbyrespiratorysyncytial



virus.Foreignbodyinthetracheaoccurswithacuterespiratorydistressorfailureandmaybestridor.

4. Whichnursingdiagnosisismostappropriateforaninfantwithacutebronchiolitisdue
torespiratorysyncytialvirus(RSV)?

a. ActivityIntolerance

b. DecreasedCardiacOutput

c. Pain,Acute

d. TissuePerfusion,Ineffective(peripheral)ANS.A

Rationale1:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

Rationale2:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

, PediatricNursing,ACase-BasedApproach,1stEditionByTagherKnapp


Rationale3:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

Rationale4:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
demand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnot
usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis
respiratory-diseaseprocess.

GlobalRationale:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupply
anddemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
associatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythisrespiratory-disease
process.




Chapter2:Asthma



1. Thenurseiscaringforachildhospitalizedforstatusasthmaticus.Whichassessment
findingsuggests thatthechilds conditionisworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingANS:A



Thenursewouldassessthechildforsignsofhypoxia,includingrestlessness,fatigue,irritability,and increased
heartandrespiratoryrate.Asthechildtiresfromtheincreasedworkofbreathinghypoventilation occurs
leadingto increased carbondioxide levels. Thenursewouldbe alert forsignsof

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