Pediatric Nursing- A Case-Based Approach
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TEST BANK
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Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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v Chapters 1 - 34 | All Chapters
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,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach v v v v v
Chapter 1: Bronchiolitis v v
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. v v v v v v v
b. Administer antibiotics as ordered. v v v
c. Restrict oral and parenteral fluids if tachypneic. v v v v v v
d. Givecool, humidified oxygen. v v v
ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
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tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree angle
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and the neck slightly extended to maintain an open airway and decrease pressure on the diaphragm.
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The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial
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infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are given
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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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virus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?
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a. Reverse isolation v
b. Airborne isolation v
c. Contact Precautions v
d. StandardPrecautions v
ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Contact
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Precautions are required. Caregivers must use gloves and gowns when entering the
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room. Care is taken not to touch their own eyes or mucous membranes with a contaminated gloved
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hand. Children are placed in a private room or in a room with other children with RSV infections.
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Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other children need to
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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. This
v v v v v v v v v v v v v v v
suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbody intrachea v v v
ANSWER: A
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Asthma mayhave these chronic signs and symptoms. Pneumonia appears with an acute onset,
v v v v v v v v v v v v v
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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, Pediatric Nursing- A Case-Based Approach v v v v v
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
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4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
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respiratory syncytial virus (RSV)?
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a. Activity Intolerance v
b. Decreased Cardiac Output v v
c. Pain, Acute v
d. TissuePerfusion, Ineffective (peripheral)
v v v
ANS. A
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Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
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Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
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Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply
v v v v v v v v v v v v v
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
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Chapter 2: Asthma v v
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
v v v v v v v v v v v v v
suggests that the childs condition is worsening?
v v v v v v v
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
v v v v v
TEST BANK
v v
Pediatric Nursing- A Case-Based Approach
v v v v v
2nd Edition by Tagher Knapp
v v v v
v Chapters 1 - 34 | All Chapters
v v v v v v
,Pediatric Nursing- A Case-Based Approach
v v v v v
, Pediatric Nursing- A Case-Based Approach v v v v v
Chapter 1: Bronchiolitis v v
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
v v v v v v v v v
a. Position on the side with neck slightly flexed. v v v v v v v
b. Administer antibiotics as ordered. v v v
c. Restrict oral and parenteral fluids if tachypneic. v v v v v v
d. Givecool, humidified oxygen. v v v
ANSWER: D
v v
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
v v v v v v v v v v v v v
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree angle
v v v v v v v v v v v v v v v v v
and the neck slightly extended to maintain an open airway and decrease pressure on the diaphragm.
v v v v v v v v v v v v v v v v
The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial
v v v v v v v v v v v v v v v v
infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are given
v v v v v v v v v v v v v v
parenterally to prevent dehydration.
v v v v
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
v v v v v v v v v v v
virus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?
v v v v v v v v v v v v v v v v v
a. Reverse isolation v
b. Airborne isolation v
c. Contact Precautions v
d. StandardPrecautions v
ANSWER: C
v v
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Contact
v v v v v v v v v v v v v
Precautions are required. Caregivers must use gloves and gowns when entering the
v v v v v v v v v v v v
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated gloved
v v v v v v v v v v v v v v v v
hand. Children are placed in a private room or in a room with other children with RSV infections.
v v v v v v v v v v v v v v v v v v
Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other children need to
v v v v v v v v v v v v v v v v
be protected from exposure to the virus. The virus is not airborne.
v v v v v v v v v v v v
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration. This
v v v v v v v v v v v v v v v
suggests what condition?
v v v
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbody intrachea v v v
ANSWER: A
v v
Asthma mayhave these chronic signs and symptoms. Pneumonia appears with an acute onset,
v v v v v v v v v v v v v
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
v v v v v v v v v v v v
, Pediatric Nursing- A Case-Based Approach v v v v v
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
v v v v v v v v v v v v v v v
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
v v v v v v v v v v v v v
respiratory syncytial virus (RSV)?
v v v v
a. Activity Intolerance v
b. Decreased Cardiac Output v v
c. Pain, Acute v
d. TissuePerfusion, Ineffective (peripheral)
v v v
ANS. A
v v
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply and
v v v v v v v v v v v v v v
demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply
v v v v v v v v v v v v v
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v v
usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v
respiratory-disease process.
v v
Chapter 2: Asthma v v
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
v v v v v v v v v v v v v
suggests that the childs condition is worsening?
v v v v v v v
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
