TEST BANK for Pediatric Nursing: A Case-Based Approach, 2nd Edition (2024) by Tagher – Complete Questions & Answers Study Guide

Pediatric Nursing- A Case-Based Approach
b b b b




TESTBANK b




Pediatric Nursing- A Case-Based
b b b




Approach
b b




b 2nd Edition by Tagher Knapp
b b b b




Chapters 1 - 34 | All Chapters
b b b b b b

,Pediatric Nursing- A Case-Based Approach
b b b b

,Pediatric Nursing- A Case-Based Approach
b b b b

, Pediatric Nursing- A Case-Based Approach b b b b




Chapter 1: Bronchiolitis b b




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
b b b b b b b b b




a. Position on the side with neck slightly flexed. b b b b b b b




b. Administer antibiotics as ordered. b b b




c. Restrict oral and parenteral fluids if tachypneic. b b b b b b




d. Givecool,humidified b b




oxygen. ANSWER: D
b b b




Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss
b b b b b b b b b b b b




from tachypnea. The infant should be positioned with the head and chest elevated at a 30-
b b b b b b b b b b b b b b b b




to 40-degree angle and the neck slightly extended to maintain an open airway and
b b b b b b b b b b b b b b




decrease pressure on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are
b b b b b b b b b b b b b




given only if there is a secondary bacterial infection. Tachypnea increases insensible fluid
b b b b b b b b b b b b b




loss. If the infant is tachypneic, fluids are given parenterally to prevent dehydration.
b b b b b b b b b b b b b




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory
b b b b b b b b b b




syncytial virus (RSV). The nurse knows that a child infected with this virus requires
b b b b b b b b b b b b b b




what type of isolation?
b b b b




a. Reverse isolation b




b. Airborne isolation b




c. Contact Precautions b




d. Standard
Precautions ANSWER: C
b b b




RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
b b b b b b b b b b b b




bContact Precautions are required. Caregivers must use gloves and gowns when entering
b b b b b b b b b b b




the room. Care is taken not to touch their own eyes or mucous membranes with a
b b b b b b b b b b b b b b b b




contaminated gloved hand. Children are placed in a private room or in a room with other
b b b b b b b b b b b b b b b b




children with RSV infections. Reverse isolation focuses on keeping bacteria awayfrom the
b b b b b b b b b b b b b




infant. With RSV, other children need to be protected from exposure to the virus. The virus
b b b b b b b b b b b b b b b b




is not airborne.
b b b




3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
b b b b b b b b b b b b b




respiration. This suggests what condition?
b b b b b




a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyin b b




trachea ANSWER: A
b b b