Pediatric Nursing- A Case-Based Approach
TEST BANK
m m
Pediatric Nursing- A Case-Based Approach
m m m m m
2nd Edition by Tagher Knapp
m 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
Chapterm1:m Bronchiolitis
1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthemsidemwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.
d. Givemcool,mhumidifiedmoxygen
.mANSWER:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfrom
tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-mtom40-
degreemanglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressure
monmthemdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmtheremism
amsecondarymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfantmismtachy
pneic,mfluidsmaremgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncyti
almvirusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtypemof
misolation?
a. Reversemisolation
b. Airbornemisolation
c. ContactmPrecautions
d. StandardmPrecaution
smANSWER:mC
RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,mCo
ntactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthe
room.mCaremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmgl
ovedmhand.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSVmi
nfections.mReversemisolationmfocusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothe
rmchildrenmneedmtombemprotectedmfrommexposuremtomthemvirus.mThemvirusmismnotmairborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespirati
on.mThismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignmbodyminmtrache
amANSWER:mA
Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemonset,
fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial
, Pediatric Nursing- A Case-Based Approach
virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailuremandmmaybemst
ridor.
4. Whichmnursingmdiagnosismismmostmappropriatemformanminfantmwithmacutembronchiolitismduem
tomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. TissuemPerfusion,mIneffectivem(peripheral
)mANS.mA
Rationalem1:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
Rationalem2:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
Rationalem3:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
Rationalem4:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
GlobalmRationale:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygen
msupplymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis
.mPainmismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaff
ectedmbymthismrespiratory-diseasemprocess.
Chapterm2:mAsthma
1. Themnursemismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfindi
ngmsuggestsmthatmthemchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
TEST BANK
m m
Pediatric Nursing- A Case-Based Approach
m m m m m
2nd Edition by Tagher Knapp
m 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
Chapterm1:m Bronchiolitis
1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthemsidemwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.
d. Givemcool,mhumidifiedmoxygen
.mANSWER:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfrom
tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-mtom40-
degreemanglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressure
monmthemdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmtheremism
amsecondarymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfantmismtachy
pneic,mfluidsmaremgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncyti
almvirusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtypemof
misolation?
a. Reversemisolation
b. Airbornemisolation
c. ContactmPrecautions
d. StandardmPrecaution
smANSWER:mC
RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,mCo
ntactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthe
room.mCaremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmgl
ovedmhand.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSVmi
nfections.mReversemisolationmfocusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothe
rmchildrenmneedmtombemprotectedmfrommexposuremtomthemvirus.mThemvirusmismnotmairborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespirati
on.mThismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignmbodyminmtrache
amANSWER:mA
Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemonset,
fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial
, Pediatric Nursing- A Case-Based Approach
virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailuremandmmaybemst
ridor.
4. Whichmnursingmdiagnosismismmostmappropriatemformanminfantmwithmacutembronchiolitismduem
tomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. TissuemPerfusion,mIneffectivem(peripheral
)mANS.mA
Rationalem1:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
Rationalem2:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
Rationalem3:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
Rationalem4:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsuppl
ymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPain
mismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffected
mbymthismrespiratory-diseasemprocess.
GlobalmRationale:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygen
msupplymandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis
.mPainmismnotmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaff
ectedmbymthismrespiratory-diseasemprocess.
Chapterm2:mAsthma
1. Themnursemismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfindi
ngmsuggestsmthatmthemchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
