Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition Tagher Knapp Test Bank Latest Update 2023 All Chapters Covered ISBN NO.pdf

PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp




TEST BANK m




Pediatric Nursing, A Case-
m m m




m Based Approach, 1st Edition By
m m m m m




Tagher Knapp m

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

Chapterm1:mBronchiolitis



1. Whichminterventionmismappropriate mformthe minfantmhospitalizedmwithmbronchiolitis?



a. Positionmonmthe mside mwithmneckmslightlymflexed.

b. Administermantibioticsmasmordered.



c. Restrictmoralmandmparenteralmfluidsmif mtachypneic.

d. Give mcool,mhumidifiedmoxygen.mANS:mD

Cool,mhumidifiedmoxygenmismgivenmtomrelieve mdyspnea,mhypoxemia,mandminsensible mfluidmlossmfrom

tachypnea.mThe minfantmshouldmbe mpositionedmwithmthe mheadmandmchestmelevatedmatmam30-mtom40-
degree manglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressuremon
m the m diaphragm. mThemetiologym of mbronchiolitis m ism viral. m Antibiotics mare mgivenmonly mif mthere m ism am second


arymbacterialminfection.mTachypneamincreasesminsensible mfluidmloss.mIf mtheminfantmismtachypneic,mfluidsmar
e mgivenmparenterallymtompreventmdehydration.



2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncytialmv
irusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype mof misolation?



a. Reverse misolation

b. Airborne misolation



c. ContactmPrecautions

d. StandardmPrecautionsmANS:mC

RSV mismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,

ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthemroom.m
Care mismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmglovedmhan
d.mChildrenmaremplacedminmamprivate mroommorminmamroommwithmothermchildrenmwithmRSV minfections.mRev
erse misolation

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

focusesmonmkeepingmbacteriamawaymfrommthe minfant.mWithmRSV,mothermchildrenmneedmtombemprotectedmfromm
exposure mtomthe mvirus.mThe mvirusmismnotmairborne.



3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphase mof mrespiration.
m Thism suggests m whatm condition?




a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignmbodyminmtracheamANS:mA

Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacute monset,

m fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial



virus.mForeignmbodyminmthemtracheamoccursmwithmacute mrespiratorymdistressmormfailure mandmmaybe mstridor.

4. Whichmnursingmdiagnosismismmostmappropriate mformanminfantmwithmacutembronchiolitismdu
e mtomrespiratorymsyncytialmvirusm(RSV)?

a. ActivitymIntolerance

b. DecreasedmCardiacmOutput

c. Pain,mAcute

d. Tissue mPerfusion, mIneffective m(peripheral) mANS.mA

Rationale m1:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu


allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.

Rationale m2:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu

allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.

, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp

Rationale m3:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu

allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.

Rationale m4:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu


allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.

GlobalmRationale:mActivitymintolerance mismamproblemmbecausemofmthe mimbalance mbetweenmoxygenmsupply
m andm demand. mCardiacm outputm ismnotm compromised mduringmanmacutem phasemof mbronchiolitis. m Painmism no


tmusuallymassociatedmwithmacutembronchiolitis.mTissue mperfusionm(peripheral) mismnotmaffectedmbymthismres
piratory- mdisease mprocess.




Chapterm2:mAsthma



1. The mnurse mismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfin
dingmsuggestsmthatmthe mchildsmconditionmismworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingmANS:mA



The mnurse mwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness, mfatigue,mirritability,mand
m increased m heartm andmrespiratory mrate.m Asmthem childmtiresmfrommthem increased m work mofmbreathingm hypov


entilationmoccursmleadingmtomincreasedmcarbonmdioxide mlevels.mThe mnurse mwouldmbe malertmformsignsmof