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TEST BANK
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Pediatric Nursing- A Case-Based Approach
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2nd Edition by Tagher Knapp
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Chapters 1 - 34 | All Chapters
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,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach
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Chapter ss1: s s Bronchiolitis
1. Which ssintervention ssis ssappropriate ssfor ssthe ssinfant sshospitalized sswith ssbronchiolitis?
a. Position sson ssthe ssside sswith ssneck ssslightly ssflexed.
b. Administer ssantibiotics ssas ssordered.
c. Restrict ssoral ssand ssparenteral ssfluids ssif sstachypneic.
d. Give sscool, sshumidified
ssoxygen. ssANSWER: ssD
Cool, sshumidified ssoxygen ssis ssgiven ssto ssrelieve ssdyspnea, sshypoxemia, ssand ssinsensible ssfluid ssloss ssfrom
tachypnea. ssThe ssinfant ssshould ssbe sspositioned sswith ssthe sshead ssand sschest sselevated ssat ssa ss30- ssto ss40-
degree ssangle ssand ssthe ssneck ssslightly ssextended ssto ssmaintain ssan ssopen ssairway ssand ssdecrease
sspressure sson ssthe ssdiaphragm. ssThe ssetiology ssof ssbronchiolitis ssis ssviral. ssAntibiotics ssare ssgiven
ssonly ssif ssthere ssis ssa sssecondary ssbacterial ssinfection. ssTachypnea ssincreases ssinsensible ssfluid ssloss.
ssIf ssthe ssinfant ssis sstachypneic, ssfluids ssare ssgiven ssparenterally ssto ssprevent ssdehydration.
2. An ssinfant sswith ssbronchiolitis ssis sshospitalized. ssThe sscausative ssorganism ssis ssrespiratory
sssyncytial ssvirus ss(RSV). ssThe ssnurse ssknows ssthat ssa sschild ssinfected sswith ssthis ssvirus ssrequires
sswhat sstype ssof ssisolation?
a. Reverse ssisolation
b. Airborne ssisolation
c. Contact ssPrecautions
d. Standard ssPrecautions
ssANSWER: ssC
RSV ssis sstransmitted ssthrough ssdroplets. ssIn ssaddition ssto ssStandard ssPrecautions ssand sshand sswashing,
ssContact ssPrecautions ssare ssrequired. ssCaregivers ssmust ssuse ssgloves ssand ssgowns sswhen ssentering ssthe
room. ssCare ssis sstaken ssnot ssto sstouch sstheir ssown sseyes ssor ssmucous ssmembranes sswith ssa
sscontaminated ssgloved sshand. ssChildren ssare ssplaced ssin ssa ssprivate ssroom ssor ssin ssa ssroom sswith ssother
sschildren sswith ssRSV ssinfections. ssReverse ssisolation ssfocuses sson sskeeping ssbacteria ssaway ssfrom ssthe
ssinfant. ssWith ssRSV, ssother sschildren ssneed ssto ssbe ssprotected ssfrom ssexposure ssto ssthe ssvirus. ssThe
ssvirus ssis ssnot ssairborne.
3. A sschild sshas ssa sschronic sscough ssand ssdiffuse sswheezing ssduring ssthe ssexpiratory ssphase ssof
ssrespiration. ssThis sssuggests sswhat sscondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign ssbodyssin
sstrachea ssANSWER: ssA
Asthma ssmay sshave ssthese sschronic sssigns ssand sssymptoms. ssPneumonia ssappears sswith ssan ssacute ssonset,
, Pediatric Nursing- A Case-Based Approach
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fever, ssand ssgeneral ssmalaise. ssBronchiolitis ssis ssan ssacute sscondition sscaused ssby ssrespiratory sssyncytial