Pediatric Nursing- A Case-Based Approach
Test Bank
Pediatric Nursing- A Case-Based Approach
2nd Edition By Tagher Knapp
Chapters 1 - 34 | All Chapters
Chapter 1: Bronchiolitis
, Pediatric Nursing- A Case-Based Approach
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.
3. A Child Has A Chronic Cough And Diffuse Wheezing During The Expiratory
Phase Of Respiration. This Suggests What Condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
, Pediatric Nursing- A Case-Based Approach
d. Foreign Body In
, Pediatric Nursing- A Case-Based Approach
Trachea Answer: A
Asthma May Have These Chronic Signs And Symptoms. Pneumonia Appears With An Acute
Onset, Fever, And General Malaise. Bronchiolitis Is An Acute Condition Caused By Respiratory
Syncytial
Test Bank
Pediatric Nursing- A Case-Based Approach
2nd Edition By Tagher Knapp
Chapters 1 - 34 | All Chapters
Chapter 1: Bronchiolitis
, Pediatric Nursing- A Case-Based Approach
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.
3. A Child Has A Chronic Cough And Diffuse Wheezing During The Expiratory
Phase Of Respiration. This Suggests What Condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
, Pediatric Nursing- A Case-Based Approach
d. Foreign Body In
, Pediatric Nursing- A Case-Based Approach
Trachea Answer: A
Asthma May Have These Chronic Signs And Symptoms. Pneumonia Appears With An Acute
Onset, Fever, And General Malaise. Bronchiolitis Is An Acute Condition Caused By Respiratory
Syncytial
