Pediatric Nursing- A Case-Based Approach
TEST BANK
m
Pediatric Nursing- A Case-Based Approach
m m m m m
m 2nd Edition by Tagher Knapp
m m m m
Chapters 1 - 34 | All Chapters
m m m m m m
,Pediatric Nursing- A Case-Based Approach
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
Chapterm1:m Bronchiolitis
1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthemsidemwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.
d. Givemcool,mhumidifiedmoxygen.
m ANSWER:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfro
mm tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-
mtom40-
degreem anglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempres
suremonmthem diaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmth
eremismam secondarymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfant
mism tachypneic,mfluidsmaremgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncyt
ialm virusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype
mofm isolation?
a. Reversemisolation
b. Airbornemisolation
c. ContactmPrecautions
d. StandardmPrecaution
sm ANSWER:mC
RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
m ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmth
em room.mCaremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontami
natedm glovedmhand.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenm
withmRSVm infections.mReversemisolationmfocusesmonmkeepingmbacteriamawaymfrommtheminfant.mWi
thmRSV,motherm childrenmneedmtombemprotectedmfrommexposuremtomthemvirus.mThemvirusmismnotmai
rborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespira
tion.m Thismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
TEST BANK
m
Pediatric Nursing- A Case-Based Approach
m m m m m
m 2nd Edition by Tagher Knapp
m m m m
Chapters 1 - 34 | All Chapters
m m m m m m
,Pediatric Nursing- A Case-Based Approach
,Pediatric Nursing- A Case-Based Approach
, Pediatric Nursing- A Case-Based Approach
Chapterm1:m Bronchiolitis
1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthemsidemwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.
d. Givemcool,mhumidifiedmoxygen.
m ANSWER:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfro
mm tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-
mtom40-
degreem anglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempres
suremonmthem diaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmth
eremismam secondarymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfant
mism tachypneic,mfluidsmaremgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncyt
ialm virusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype
mofm isolation?
a. Reversemisolation
b. Airbornemisolation
c. ContactmPrecautions
d. StandardmPrecaution
sm ANSWER:mC
RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
m ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmth
em room.mCaremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontami
natedm glovedmhand.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenm
withmRSVm infections.mReversemisolationmfocusesmonmkeepingmbacteriamawaymfrommtheminfant.mWi
thmRSV,motherm childrenmneedmtombemprotectedmfrommexposuremtomthemvirus.mThemvirusmismnotmai
rborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespira
tion.m Thismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
