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Test Bank - Pediatric Nursing: A Case-Based Approach, 1st Edition (Tagher, 2020), Chapter 1-34 | All Chapters

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Test Bank - Pediatric Nursing: A Case-Based Approach, 1st Edition (Tagher, 2020), Chapter 1-34 | All Chapters

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lOMoARcPSD|52156080




Pediatric Nursing- A Case-Based Approach


TEST BANK
Pediatric Nursing- A Case-Based
Approach
2nd Edition by Tagher
Knapp
Chapters 1 - 34 | All Chapters




Downloaded by Frank Waweru ()

, lOMoARcPSD|52156080




Pediatric Nursing- A Case-Based Approach




Downloaded by Frank Waweru ()

, lOMoARcPSD|52156080




Pediatric Nursing- A Case-Based Approach




Downloaded by Frank Waweru ()

, lOMoARcPSD|52156080




Pediatric Nursing- A Case-Based Approach


Chapter 1: Bronchiolitis




1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.

b. Administer antibiotics as ordered.

c. Restrict oral and parenteral fluids if tachypneic.

d. Give cool, humidified
oxygen. ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and
insensible fluid loss from tachypnea. The infant should be positioned with
the head and chest elevated at a 30- to 40-degree angle and the neck
slightly extended to maintain an open airway and decrease pressure on the
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if
there is a secondary bacterial infection. Tachypnea increases insensible
fluid loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.

2. An infant with bronchiolitis is hospitalized. The causative organism is
respiratory syncytial virus (RSV). The nurse knows that a child infected
with this virus requires what type of isolation?

a. Reverse isolation

b. Airborne isolation

c. Contact Precautions

d. Standard
Precautions ANSWER: C
RSV is transmitted through droplets. In addition to Standard Precautions and
hand washing, Contact Precautions are required. Caregivers must use
gloves and gowns when entering the room. Care is taken not to touch their
own eyes or mucous membranes with a contaminated gloved hand.
Children are placed in a private room or in a room with other children with
RSV infections. Reverse isolation focuses on keeping bacteria away from
the infant. With RSV, other children need to be protected from exposure to
the virus. The virus is not airborne.
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