Pediatric Nursing- A Case-Based Approach
n n n n
TEST BANK
n n
Pediatric Nursing- A Case-
n n n
Based Approach 2nd Edition by Tagher
n nn n n n
Knapp
Chapters 1 - 34 | All Chapters
n n n n n n n
,Pediatric Nursing- A Case-Based Approach
n n n n
,Pediatric Nursing- A Case-Based Approach
n n n n
, Pediatric Nursing- A Case-Based Approach
n n n n
Chaptern 1:n Bronchiolitis
1. Whichninterventionn isnappropriaten forn then infant n hospitalized n withn bronchiolitis?
a. Positionn onnthen siden withn necknslightlynflexed.
b. Administernantibioticsn asn ordered.
c. Restrict n oraln and n parenteraln fluidsn if n tachypneic.
d. Givencool,nhumidified noxygen.n
ANSWER:n D
Cool,n humidified n oxygenn isn givenn tonrelieven dyspnea,n hypoxemia,n andn insensiblen fluid n lossn fromn ta
chypnea.n Then infant n should n ben positioned n withn then head n and nchest n elevated n at n an 30-nton 40-
degreen anglen and n thenneckn slightlyn extendedntonmaintainn ann opennairwayn andn decreasen pressuren onnt
hen diaphragm.n Then etiologyn of n bronchiolitisn isn viral.n Antibioticsn aren givenn onlyn if n theren isn an second
aryn bacterialn infection.n Tachypnean increasesn insensiblen fluid n loss.n If n then infant n isn tachypneic,n fluid
sn aren givenn parenterallyn ton prevent n dehydration.
2. Anninfant nwithnbronchiolitisnisnhospitalized.n Thencausativenorganismnisnrespiratorynsyncytialn
virusn (RSV).n Then nursen knowsn that n an child ninfected nwithn thisn virusn requiresn what n typen ofnisolati
on?
a. Reversenisolation
b. Airbornenisolation
c. Contact n Precautions
d. Standard nPrecautionsn
ANSWER:n C
RSV n isn transmitted n throughn droplets.n Inn additionntonStandardnPrecautionsn and nhandnwashing,n Cont
act n Precautionsn aren required.n Caregiversn must n usen glovesn and n gownsn whenn enteringn then room.n Car
en isn takenn not n tontouchn theirn ownn eyesnorn mucousn membranesn withn ancontaminated ngloved nhand.nCh
ildrenn aren placed n inn an privaten roomn orn inn an roomn withn othern childrenn withnRSV ninfections.nReverseni
solationn focusesn onn keepingnbacterian awaynfromn theninfant.nWithnRSV,nothern childrenn need n ton ben pr
otected n fromn exposuren ton then virus.n Then virusn isn not n airborne.
3. A nchild n hasnan chronicn coughn andndiffusen wheezingn duringnthen expiratorynphasen of n respiration.n
Thisn suggestsn what n condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignnbodyninntrachean
ANSWER:n A
Asthmanmaynhaventhesen chronicn signsn andnsymptoms.n Pneumonian appearsn withnann acutenonset,nfeve
r,n and n generaln malaise.n Bronchiolitisn isn ann acuten conditionn caused n bynrespiratorynsyncytial
n n n n
TEST BANK
n n
Pediatric Nursing- A Case-
n n n
Based Approach 2nd Edition by Tagher
n nn n n n
Knapp
Chapters 1 - 34 | All Chapters
n n n n n n n
,Pediatric Nursing- A Case-Based Approach
n n n n
,Pediatric Nursing- A Case-Based Approach
n n n n
, Pediatric Nursing- A Case-Based Approach
n n n n
Chaptern 1:n Bronchiolitis
1. Whichninterventionn isnappropriaten forn then infant n hospitalized n withn bronchiolitis?
a. Positionn onnthen siden withn necknslightlynflexed.
b. Administernantibioticsn asn ordered.
c. Restrict n oraln and n parenteraln fluidsn if n tachypneic.
d. Givencool,nhumidified noxygen.n
ANSWER:n D
Cool,n humidified n oxygenn isn givenn tonrelieven dyspnea,n hypoxemia,n andn insensiblen fluid n lossn fromn ta
chypnea.n Then infant n should n ben positioned n withn then head n and nchest n elevated n at n an 30-nton 40-
degreen anglen and n thenneckn slightlyn extendedntonmaintainn ann opennairwayn andn decreasen pressuren onnt
hen diaphragm.n Then etiologyn of n bronchiolitisn isn viral.n Antibioticsn aren givenn onlyn if n theren isn an second
aryn bacterialn infection.n Tachypnean increasesn insensiblen fluid n loss.n If n then infant n isn tachypneic,n fluid
sn aren givenn parenterallyn ton prevent n dehydration.
2. Anninfant nwithnbronchiolitisnisnhospitalized.n Thencausativenorganismnisnrespiratorynsyncytialn
virusn (RSV).n Then nursen knowsn that n an child ninfected nwithn thisn virusn requiresn what n typen ofnisolati
on?
a. Reversenisolation
b. Airbornenisolation
c. Contact n Precautions
d. Standard nPrecautionsn
ANSWER:n C
RSV n isn transmitted n throughn droplets.n Inn additionntonStandardnPrecautionsn and nhandnwashing,n Cont
act n Precautionsn aren required.n Caregiversn must n usen glovesn and n gownsn whenn enteringn then room.n Car
en isn takenn not n tontouchn theirn ownn eyesnorn mucousn membranesn withn ancontaminated ngloved nhand.nCh
ildrenn aren placed n inn an privaten roomn orn inn an roomn withn othern childrenn withnRSV ninfections.nReverseni
solationn focusesn onn keepingnbacterian awaynfromn theninfant.nWithnRSV,nothern childrenn need n ton ben pr
otected n fromn exposuren ton then virus.n Then virusn isn not n airborne.
3. A nchild n hasnan chronicn coughn andndiffusen wheezingn duringnthen expiratorynphasen of n respiration.n
Thisn suggestsn what n condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignnbodyninntrachean
ANSWER:n A
Asthmanmaynhaventhesen chronicn signsn andnsymptoms.n Pneumonian appearsn withnann acutenonset,nfeve
r,n and n generaln malaise.n Bronchiolitisn isn ann acuten conditionn caused n bynrespiratorynsyncytial
