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Based Approach
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TEST BANK
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Pediatric Nursing- A Case-
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Based Approach 2nd Edition by Tagher
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,Pediatric Nursing- A Case-
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Based Approach
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, Pediatric Nursing- A Case- w# w# w#
Based Approach w#
Chapter 1: Bronchiolitis w# w #
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. w# w# w# w# w# w# w#
b. Administer antibiotics as ordered. w# w# w#
c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen w# w# w#
. ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss f
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rom tachypnea. The infant should be positioned with the head and chest elevated at a 30-
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to 40-
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degree angle and the neck slightly extended to maintain an open airway and decrease press
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ure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if th
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ere is a secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infan
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t is tachypneic, fluids are given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncy
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tial virus (RSV). The nurse knows that a child infected with this virus requires what ty
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pe of isolation?
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a. Reverse isolation w#
b. Airborne isolation w#
c. Contact Precautions w#
d. Standard Precautions w#
ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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Contact Precautions are required. Caregivers must use gloves and gowns when entering th
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e room. Care is taken not to touch their own eyes or mucous membranes with a contamina
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ted gloved hand. Children are placed in a private room or in a room with other children w
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ith RSV infections. Reverse isolation focuses on keeping bacteria away from the infant. With
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RSV, other children need to be protected from exposure to the virus. The virus is not airb
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orne.
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respira
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tion. This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trache w# w# w#
a ANSWER: A
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, Pediatric Nursing- A Case-
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Asthma may have these chronic
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Basedsigns
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Approach
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, fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncyt
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ial