Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition Tagher Knapp Test Bank Latest Update 2023| All Chapters Covered| ISBN NO:10,| ISBN NO-13,978-1975209063|

Pediatric Nursing- A Case-Based Approach
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TEST BANK
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Pediatric Nursing- A Case-
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Based Approach 2nd Edition by Tagher
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Knapp
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,Pediatric Nursing- A Case-Based Approach
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, Pediatric Nursing- A Case-Based Approach +f +f +f +f




Chapter 1: Bronchiolitis +f + f




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




b. Administer antibiotics as ordered. +f +f +f



c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen. +f +f +f



ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss fro
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m tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
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degree angle and the neck slightly extended to maintain an open airway and decrease pressure
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on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
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secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypn
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eic, fluids are given parenterally to prevent dehydration.
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2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
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virus (RSV). The nurse knows that a child infected with this virus requires what type of is
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olation?
a. Reverse isolation +f



b. Airborne isolation +f




c. Contact Precautions +f



d. Standard Precautions +f +



ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, C
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ontact Precautions are required. Caregivers must use gloves and gowns when entering the roo
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m. Care is taken not to touch their own eyes or mucous membranes with a contaminated glove
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d hand. Children are placed in a private room or in a room with other children with RSV infec
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tions. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other child
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ren need to be protected from exposure to the virus. The virus is not airborne.
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3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration
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. This suggests what condition?
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a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea +f +f +f +


ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fe
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ver, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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, Pediatric Nursing- A Case-Based Approach +f +f +f +f




virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stri
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dor.

4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due t
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o respiratory syncytial virus (RSV)?
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a. Activity Intolerance +f



b. Decreased Cardiac Output +f +f


c. Pain, Acute +f



d. Tissue Perfusion, Ineffective (peripheral)+f +f +f



ANS. A
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Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
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and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
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not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
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this respiratory-disease process.
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Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen s
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upply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. P
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ain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affect
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ed by this respiratory-disease process.
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Chapter 2: Asthma +f +f




1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment findin
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g suggests that the childs condition is worsening?
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a. Hypoventilation
b. Thirst
c. Bradycardia