Pediatric Nursing- A Case-Based Approach
k k k k k
TEST BANK
k k
Pediatric Nursing- A Case-Based Approach
k k k k k
2nd Edition by Tagher Knapp
k k k k
k Chapters 1 - 34 | All Chapters
k k k k k k
,Pediatric Nursing- A Case-Based Approach
k k k k k
, Pediatric Nursing- A Case-Based Approach
k k k k k
Chapterk1:k Bronchiolitis
1. Whichkinterventionkiskappropriatekforkthekinfantkhospitalizedkwithkbronchiolitis?
a. Positionkonktheksidekwithkneckkslightlykflexed.
b. Administerkantibioticskaskordered.
c. Restrictkoralkandkparenteralkfluidskifktachypneic.
d. Givekcool,khumidifiedkoxygen.k
ANSWER:kD
Cool,khumidifiedkoxygenkiskgivenktokrelievekdyspnea,khypoxemia,kandkinsensiblekfluidklosskfrom
tachypnea.kThekinfantkshouldkbekpositionedkwithkthekheadkandkchestkelevatedkatkak30-ktok40-
degreekanglekandkthekneckkslightlykextendedktokmaintainkankopenkairwaykandkdecreasekpressurekonkt
hekdiaphragm.kTheketiologykofkbronchiolitiskiskviral.kAntibioticskarekgivenkonlykifktherekiskakseconda
rykbacterialkinfection.kTachypneakincreaseskinsensiblekfluidkloss.kIfkthekinfantkisktachypneic,kfluidska
rekgivenkparenterallyktokpreventkdehydration.
2. Ankinfantkwithkbronchiolitiskiskhospitalized.kThekcausativekorganismkiskrespiratoryksyncytialk
virusk(RSV).kTheknursekknowskthatkakchildkinfectedkwithkthiskviruskrequireskwhatktypekofkisolati
on?
a. Reversekisolation
b. Airbornekisolation
c. ContactkPrecautions
d. StandardkPrecautions
kANSWER:kC
RSVkisktransmittedkthroughkdroplets.kInkadditionktokStandardkPrecautionskandkhandkwashing,kConta
ctkPrecautionskarekrequired.kCaregiverskmustkusekgloveskandkgownskwhenkenteringkthe
room.kCarekisktakenknotktoktouchktheirkownkeyeskorkmucouskmembraneskwithkakcontaminatedkgloved
khand.kChildrenkarekplacedkinkakprivatekroomkorkinkakroomkwithkotherkchildrenkwithkRSVkinfections.k
Reversekisolationkfocuseskonkkeepingkbacteriakawaykfromkthekinfant.kWithkRSV,kotherkchildrenknee
dktokbekprotectedkfromkexposurektokthekvirus.kThekviruskisknotkairborne.
3. Akchildkhaskakchronickcoughkandkdiffusekwheezingkduringkthekexpiratorykphasekofkrespiration.k
Thisksuggestskwhatkcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignkbodykinktracheak
ANSWER:kA
Asthmakmaykhavekthesekchronicksignskandksymptoms.kPneumoniakappearskwithkankacutekonset,
fever,kandkgeneralkmalaise.kBronchiolitiskiskankacutekconditionkcausedkbykrespiratoryksyncytial
, Pediatric Nursing- A Case-Based Approach
k k k k k
virus.kForeignkbodykinkthektracheakoccurskwithkacutekrespiratorykdistresskorkfailurekandkmaybekstrido
r.
4. Whichknursingkdiagnosiskiskmostkappropriatekforkankinfantkwithkacutekbronchiolitiskduektokr
espiratoryksyncytialkvirusk(RSV)?
a. ActivitykIntolerance
b. DecreasedkCardiackOutput
c. Pain,kAcute
d. TissuekPerfusion,kIneffectivek(peripheral)k
ANS.kA
Rationalek1:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
Rationalek2:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
Rationalek3:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
Rationalek4:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
GlobalkRationale:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksu
pplykandkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainki
sknotkusuallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykth
iskrespiratory-diseasekprocess.
Chapterk2:kAsthma
1. Theknursekiskcaringkforkakchildkhospitalizedkforkstatuskasthmaticus.kWhichkassessmentkfindingks
uggestskthatkthekchildskconditionkiskworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
k k k k k
TEST BANK
k k
Pediatric Nursing- A Case-Based Approach
k k k k k
2nd Edition by Tagher Knapp
k k k k
k Chapters 1 - 34 | All Chapters
k k k k k k
,Pediatric Nursing- A Case-Based Approach
k k k k k
, Pediatric Nursing- A Case-Based Approach
k k k k k
Chapterk1:k Bronchiolitis
1. Whichkinterventionkiskappropriatekforkthekinfantkhospitalizedkwithkbronchiolitis?
a. Positionkonktheksidekwithkneckkslightlykflexed.
b. Administerkantibioticskaskordered.
c. Restrictkoralkandkparenteralkfluidskifktachypneic.
d. Givekcool,khumidifiedkoxygen.k
ANSWER:kD
Cool,khumidifiedkoxygenkiskgivenktokrelievekdyspnea,khypoxemia,kandkinsensiblekfluidklosskfrom
tachypnea.kThekinfantkshouldkbekpositionedkwithkthekheadkandkchestkelevatedkatkak30-ktok40-
degreekanglekandkthekneckkslightlykextendedktokmaintainkankopenkairwaykandkdecreasekpressurekonkt
hekdiaphragm.kTheketiologykofkbronchiolitiskiskviral.kAntibioticskarekgivenkonlykifktherekiskakseconda
rykbacterialkinfection.kTachypneakincreaseskinsensiblekfluidkloss.kIfkthekinfantkisktachypneic,kfluidska
rekgivenkparenterallyktokpreventkdehydration.
2. Ankinfantkwithkbronchiolitiskiskhospitalized.kThekcausativekorganismkiskrespiratoryksyncytialk
virusk(RSV).kTheknursekknowskthatkakchildkinfectedkwithkthiskviruskrequireskwhatktypekofkisolati
on?
a. Reversekisolation
b. Airbornekisolation
c. ContactkPrecautions
d. StandardkPrecautions
kANSWER:kC
RSVkisktransmittedkthroughkdroplets.kInkadditionktokStandardkPrecautionskandkhandkwashing,kConta
ctkPrecautionskarekrequired.kCaregiverskmustkusekgloveskandkgownskwhenkenteringkthe
room.kCarekisktakenknotktoktouchktheirkownkeyeskorkmucouskmembraneskwithkakcontaminatedkgloved
khand.kChildrenkarekplacedkinkakprivatekroomkorkinkakroomkwithkotherkchildrenkwithkRSVkinfections.k
Reversekisolationkfocuseskonkkeepingkbacteriakawaykfromkthekinfant.kWithkRSV,kotherkchildrenknee
dktokbekprotectedkfromkexposurektokthekvirus.kThekviruskisknotkairborne.
3. Akchildkhaskakchronickcoughkandkdiffusekwheezingkduringkthekexpiratorykphasekofkrespiration.k
Thisksuggestskwhatkcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignkbodykinktracheak
ANSWER:kA
Asthmakmaykhavekthesekchronicksignskandksymptoms.kPneumoniakappearskwithkankacutekonset,
fever,kandkgeneralkmalaise.kBronchiolitiskiskankacutekconditionkcausedkbykrespiratoryksyncytial
, Pediatric Nursing- A Case-Based Approach
k k k k k
virus.kForeignkbodykinkthektracheakoccurskwithkacutekrespiratorykdistresskorkfailurekandkmaybekstrido
r.
4. Whichknursingkdiagnosiskiskmostkappropriatekforkankinfantkwithkacutekbronchiolitiskduektokr
espiratoryksyncytialkvirusk(RSV)?
a. ActivitykIntolerance
b. DecreasedkCardiackOutput
c. Pain,kAcute
d. TissuekPerfusion,kIneffectivek(peripheral)k
ANS.kA
Rationalek1:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
Rationalek2:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
Rationalek3:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
Rationalek4:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykan
dkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotku
suallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskresp
iratory-diseasekprocess.
GlobalkRationale:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksu
pplykandkdemand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainki
sknotkusuallykassociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykth
iskrespiratory-diseasekprocess.
Chapterk2:kAsthma
1. Theknursekiskcaringkforkakchildkhospitalizedkforkstatuskasthmaticus.kWhichkassessmentkfindingks
uggestskthatkthekchildskconditionkiskworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
