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