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TEST BANK for Pediatric Nursing: A Case-Based Approach (2ND Edition) by Tagher A+ LATEST GUIDE 2024 $19.49
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TEST BANK for Pediatric Nursing: A Case-Based Approach (2ND Edition) by Tagher A+ LATEST GUIDE 2024
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TEST BANK for Pediatric Nursing: A Case-Based Approach (2ND Edition) by Tagher A+ LATEST GUIDE 2024

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  • September 1, 2024
  • 90
  • 2024/2025
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  • test bank for pediatric nursing a case based appr

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1/55

,Test Bank - Pediatric Nursing: A Case-
f f f f f f


Based Approach,2nd Edition (Tagher, 2024),
f f f f


Chapter 1-34 | All Chapters graded A
f f f f f f f




Chapterf1:f Bronchiolitis


1. Whichf interventionf isfappropriatef forf thef infantf hospitalizedfwithf bronchiolitis?
a. Positionfonfthefsidefwithfneckfslightlyfflexed.
b. Administerf antibioticsf asfordered.
c. Restrictforalfandfparenteralffluidsfifftachypneic.
d. Givefcool,fhumidifie
dfoxygen.fANSWER:fD
Cool,fhumidifiedfoxygenfisfgivenftofrelievefdyspnea,fhypoxemia,f andfinsensiblef
fluidf lossffrom
tachypnea.f Thef infantfshouldfbef positionedf withfthef headfandf che
stf elevatedf atf af30-ftof 40-
degreefanglefandf thef neckfslightlyfextendedftof maintainf anfopenf ai
rwayfandf decreasef pressuref onfthefdiaphragm.fThefetiologyfoffbro
nchiolitisfisf viral.fAntibioticsfaref givenfonlyfifftherefisfafsecondaryfb
acterialfinfection.fTachypneafincreasesfinsensibleffluidfloss.fIffthef i
nfantfisf tachypneic,f fluidsfarefgivenfparenterallyftofpreventfdehyd
ration.

2. Anfinfantf withfbronchiolitisfisfhospitalized.fThefcausativefor
ganismfisfrespiratoryfsyncytialfvirusf(RSV).fThefnursefknowsfthatf afchil
dfinfectedfwithfthisfvirusfrequiresfwhatftypefoffisolation?
a. Reversefisolation
b. Airbornefisolation
c. ContactfPrecautions
d. StandardfPre
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,cautionsfANSWER:fC
RSVfisftransmittedfthroughfdroplets.f Inf additionftofStandardfPreca
utionsf andf handf washing,fContactfPrecautionsfarefrequired.fCa
regiversfmustfusefglovesfandfgownsfwhenfenteringfthefroom.fC
aref isf takenf notf tof touchftheirf ownf eyesforf mucousf membranesf wit
hf af contaminatedf glovedf hand.fChildrenfarefplacedfinfafprivatefro
omforfinfafroomfwithfotherfchildrenfwithfRSVf infections.
Reversefisolationf focusesf onfkeepingf bacteriafawayf fromfthef infa
nt.f WithfRSV,f otherf childrenfneedftofbefprotectedffromfexposureft
ofthefvirus.fThefvirusf isfnotfairborne.

3. Afchildf hasf afchronicfcoughf andf diffusef wheezingf duringfthef
expiratoryfphasef offrespiration.fThisfsuggestsfwhatfcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignfbodyfin
ftracheafANSWER:fA

Asthmaf mayfhavefthesef chronicf signsfandf symptoms.f Pneumoniaf
appearsf withfanf acutefonset,f fever,fandfgeneralfmalaise.fBronchioli
tisfisfanfacutefconditionfcausedfbyfrespiratoryfsyncytial




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, virus.fForeignfbodyfinftheftracheaf occursfwithfacutefrespiratoryfdistressforffailur
ef andfmaybef stridor.

4. Whichfnursingfdiagnosisfisfmostfappropriatefforfanfinfantf
withfacutefbronchiolitisfdueftofrespiratoryfsyncytialfvirusf(RSV)?
a. ActivityfIntolerance
b. DecreasedfCardiacfOutput
c. Pain,fAcute
d. TissuefPerfusion,fIneffecti
vef(peripheral)fANS.fA
Rationalef1:fActivityfintolerancefisfafproblemfbecausefoffthefimbal
ancefbetweenfoxygenfsupplyfandfdemand.fCardiacfoutputfisfnotfc
ompromisedfduringfanfacutefphasefoffbronchiolitis.fPainfisfnotfu
suallyfassociatedfwithfacutefbronchiolitis.fTissuefperfusionf(periph
eral)f isfnotf affectedfbyf thisfrespiratory-diseasefprocess.
Rationalef 2:f Activityfintolerancef isfaf problemfbecausef offthef imbal
ancefbetweenfoxygenfsupplyf andfdemand.fCardiacfoutputfisfnotfc
ompromisedfduringfanfacutefphasefoffbronchiolitis.fPainfisfnotfu
suallyfassociatedfwithfacutefbronchiolitis.f Tissuefperfusionf(periph
eral)f isfnotf affectedfbyf thisfrespiratory-diseasefprocess.
Rationalef3:fActivityfintolerancef isfafproblemfbecausefoffthefimbal
ancefbetweenfoxygenfsupplyf andfdemand.fCardiacfoutputfisfnotfc
ompromisedfduringfanfacutefphasefoffbronchiolitis.fPainfisfnotfu
suallyfassociatedfwithfacutefbronchiolitis.fTissuefperfusionf(periph
eral)f isfnotf affectedfbyf thisfrespiratory-diseasefprocess.
Rationalef 4:f Activityfintolerancef isfaf problemfbecausef offthef imbal
ancefbetweenfoxygenfsupplyf andfdemand.fCardiacfoutputfisfnotfc
ompromisedfduringfanfacutefphasefoffbronchiolitis.fPainfisfnotfu
suallyfassociatedfwithfacutefbronchiolitis.fTissuefperfusionf(periph
eral)f isfnotf affectedfbyf thisfrespiratory-diseasefprocess.
GlobalfRationale:fActivityfintolerancefisfafproblemfbecausefoffth
efimbalancefbetweenfoxygenfsupplyfandfdemand.fCardiacf output
f isfnotfcompromisedf duringfanfacutefphasefoff bronchiolitis.fPainf i

sfnotf usuallyfassociatedfwithfacutefbronchiolitis.fTissuefperfusionf
(peripheral)f isfnotfaffectedfbyfthisfrespiratory-diseasefprocess.


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