Test Bank for Pediatric Nursing: A Case-Based Approach, 1st Edition Chapters 1-34 | Complete Guide A+

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Pediatric Nursing, A Case-
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Based Approach, 1st Edition ByT
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agher Knapp k

, PediatrickNursing,kAkCase-BasedkApproach,k1stkEditionkBykTagherkKnapp


Chapterk1:kBronchiolitis



1. Whichkinterventionkiskappropriatekforkthekinfantkhospitalizedkwithkbronchiolitis?



a. Positionkonktheksidekwithkneckkslightlykflexed.

b. Administerkantibioticskaskordered.



c. Restrictkoralkandkparenteralkfluidskifktachypneic.

d. Givekcool,khumidifiedkoxygen.kANS:kD

Cool,khumidifiedkoxygenkiskgivenktokrelievekdyspnea,khypoxemia,kandkinsensiblekfluidklosskfrom

tachypnea.kThekinfantkshouldkbekpositionedkwithkthekheadkandkchestkelevatedkatkak30-ktok40-
degreekanglekandkthekneckkslightlykextendedktokmaintainkankopenkairwaykandkdecreasekpressurekonkthek
diaphragm.kTheketiologykofkbronchiolitiskiskviral.kAntibioticskarekgivenkonlykifktherekiskaksecondarykbacteri
alkinfection.kTachypneakincreaseskinsensiblekfluidkloss.kIfkthekinfantkisktachypneic,kfluidskarekgivenkparent
erallyktokpreventkdehydration.



2. Ankinfantkwithkbronchiolitiskiskhospitalized.kThekcausativekorganismkiskrespiratoryksyncytialkvirusk
(RSV).kTheknursekknowskthatkakchildkinfectedkwithkthiskviruskrequireskwhatktypekofkisolation?



a. Reversekisolation

b. Airbornekisolation



c. ContactkPrecautions

d. StandardkPrecautionskANS:kC

RSVkisktransmittedkthroughkdroplets.kInkadditionktokStandardkPrecautionskandkhandkwashing,

ContactkPrecautionskarekrequired.kCaregiverskmustkusekgloveskandkgownskwhenkenteringkthekroom.kCareki
sktakenknotktoktouchktheirkownkeyeskorkmucouskmembraneskwithkakcontaminatedkglovedkhand.kChildrenka
rekplacedkinkakprivatekroomkorkinkakroomkwithkotherkchildrenkwithkRSVkinfections.kReversekisolation

, PediatrickNursing,kAkCase-BasedkApproach,k1stkEditionkBykTagherkKnapp


focuseskonkkeepingkbacteriakawaykfromkthekinfant.kWithkRSV,kotherkchildrenkneedktokbekprotectedkfromk
exposurektokthekvirus.kThekviruskisknotkairborne.



3. Akchildkhaskakchronickcoughkandkdiffusekwheezingkduringkthekexpiratorykphasekofkrespiration.kThisk
suggestskwhatkcondition?



a. Asthma

b. Pneumonia



c. Bronchiolitis

d. ForeignkbodykinktracheakANS:kA

Asthmakmaykhavekthesekchronicksignskandksymptoms.kPneumoniakappearskwithkankacutekonset,kf

ever,kandkgeneralkmalaise.kBronchiolitiskiskankacutekconditionkcausedkbykrespiratoryksyncytial



virus.kForeignkbodykinkthektracheakoccurskwithkacutekrespiratorykdistresskorkfailurekandkmaybekstridor.

4. Whichknursingkdiagnosiskiskmostkappropriatekforkankinfantkwithkacutekbronchiolitiskduektokr
espiratoryksyncytialkvirusk(RSV)?

a. ActivitykIntolerance

b. DecreasedkCardiackOutput

c. Pain,kAcute

d. TissuekPerfusion,kIneffectivek(peripheral)kANS.kA

Rationalek1:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykandkde
mand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotkusuallykass
ociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskrespiratory-
kdiseasekprocess.




Rationalek2:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykandkde
mand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotkusuallykass
ociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskrespiratory-
kdiseasekprocess.

, PediatrickNursing,kAkCase-BasedkApproach,k1stkEditionkBykTagherkKnapp


Rationalek3:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykandkde
mand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotkusuallykass
ociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskrespiratory-
kdiseasekprocess.




Rationalek4:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykandkde
mand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotkusuallykass
ociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskrespiratory-
kdiseasekprocess.




GlobalkRationale:kActivitykintolerancekiskakproblemkbecausekofkthekimbalancekbetweenkoxygenksupplykandk
demand.kCardiackoutputkisknotkcompromisedkduringkankacutekphasekofkbronchiolitis.kPainkisknotkusuallykas
sociatedkwithkacutekbronchiolitis.kTissuekperfusionk(peripheral)kisknotkaffectedkbykthiskrespiratory-
kdiseasekprocess.




Chapterk2:kAsthma



1. Theknursekiskcaringkforkakchildkhospitalizedkforkstatuskasthmaticus.kWhichkassessmentkfindingk
suggestskthatkthekchildskconditionkiskworsening?



a. Hypoventilation

b. Thirst



c. Bradycardia

d. ClubbingkANS:kA



Theknursekwouldkassesskthekchildkforksignskofkhypoxia,kincludingkrestlessness,kfatigue,kirritability,kandkincrea
sedkheartkandkrespiratorykrate.kAskthekchildktireskfromkthekincreasedkworkkofkbreathingkhypoventilationkocc
urskleadingktokincreasedkcarbonkdioxideklevels.kTheknursekwouldkbekalertkforksignskof