TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp All Chapters 1-34 fully covered ISBN: 9781975209063
TEST BANK Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp All Chapters 1-34 fully covered ISBN: 9781975209063
TEST BANK Pediatric Nursing- A Case...
Pediatric Nursing- A Case-Based Approach
e e e e e
TEST BANK
Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
All Chapters 1-34
,Pediatric Nursing- A Case-Based Approach
e e e e e
, Pediatric Nursing- A Case-Based Approach
e e e e e
Chaptere1:e Bronchiolitis
1. Whicheinterventioneiseappropriateeforetheeinfantehospitalizedewithebronchiolitis?
a. Positioneonetheesideewitheneckeslightlyeflexed.
b. Administereantibioticseaseordered.
c. Restricteoraleandeparenteralefluidseifetachypneic.
d. Giveecool,ehumidifiedeoxygen.e
ANSWER:eD
Cool,ehumidifiedeoxygeneisegivenetoerelieveedyspnea,ehypoxemia,eandeinsensibleefluidelossefrom
tachypnea.eTheeinfanteshouldebeepositionedewithetheeheadeandechesteelevatedeateae30-etoe40-
degreeeangleeandetheeneckeslightlyeextendedetoemaintaineaneopeneairwayeandedecreaseepressureeoneth
eediaphragm.eTheeetiologyeofebronchiolitiseiseviral.eAntibioticseareegiveneonlyeifethereeiseaesecondary
ebacterialeinfection. eTachypneaeincreaseseinsensiblee fluideloss.eIfetheeinfanteisetachypneic,efluidsearee
giveneparenterallyetoepreventedehydration.
2. Aneinfantewithebronchiolitiseisehospitalized.eTheecausativeeorganismeiserespiratoryesyncytialev
iruse(RSV).eTheenurseeknowsethateaechildeinfectedewithethiseviruserequiresewhatetypeeofeisolation
?
a. Reverseeisolation
b. Airborneeisolation
c. ContactePrecautions
d. StandardePrecautions
eANSWER:eC
3. Aechildehaseaechronicecougheandediffuseewheezingeduringetheeexpiratoryephaseeoferespiration.eT
hisesuggestsewhatecondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignebodyeinetracheae
ANSWER:eA
Asthmaemayehaveetheseechronicesignseandesymptoms.ePneumoniaeappearsewitheaneacuteeonset,
fever,eandegeneralemalaise.eBronchiolitiseiseaneacuteeconditionecausedebyerespiratoryesyncytial
, Pediatric Nursing- A Case-Based Approach
e e e e e
a. ActivityeIntolerance
b. DecreasedeCardiaceOutput
c. Pain,eAcute
d. TissueePerfusion,eIneffectivee(peripheral)e
ANS.eA
Rationalee1:eActivityeintoleranceeiseaeproblemebecauseeofetheeimbalanceebetweeneoxygenesupplyean
dedemand.eCardiaceoutputeisenotecompromisededuringeaneacuteephaseeofebronchiolitis.ePaineisenoteus
uallyeassociatedewitheacuteebronchiolitis.eTissueeperfusione(peripheral)eisenoteaffectedebyethiserespir
atory-diseaseeprocess.
Rationalee2:eActivityeintoleranceeiseaeproblemebecauseeofetheeimbalanceebetweeneoxygenesupplyean
dedemand.eCardiaceoutputeisenotecompromisededuringeaneacuteephaseeofebronchiolitis.ePaineisenoteus
uallyeassociatedewitheacuteebronchiolitis.eTissueeperfusione(peripheral)eisenoteaffectedebyethiserespir
atory-diseaseeprocess.
Rationalee3:eActivityeintoleranceeiseaeproblemebecauseeofetheeimbalanceebetweeneoxygenesupplyean
dedemand.eCardiaceoutputeisenotecompromisededuringeaneacuteephaseeofebronchiolitis.ePaineisenoteus
uallyeassociatedewitheacuteebronchiolitis.eTissueeperfusione(peripheral)eisenoteaffectedebyethiserespir
atory-diseaseeprocess.
Rationalee4:eActivityeintoleranceeiseaeproblemebecauseeofetheeimbalanceebetweeneoxygenesupplyean
dedemand.eCardiaceoutputeisenotecompromisededuringeaneacuteephaseeofebronchiolitis.ePaineisenoteus
uallyeassociatedewitheacuteebronchiolitis.eTissueeperfusione(peripheral)eisenoteaffectedebyethiserespir
atory-diseaseeprocess.
GlobaleRationale:eActivityeintoleranceeiseaeproblemebecauseeofetheeimbalanceebetweeneoxygenesup
plyeandedemand.eCardiaceoutputeisenotecompromisededuringeaneacuteephaseeofebronchiolitis.ePaineise
noteusuallyeassociatedewitheacuteebronchiolitis.eTissueeperfusione(peripheral)eisenoteaffectedebyethise
respiratory-diseaseeprocess.
Chaptere2:eAsthma
1. Theenurseeisecaringeforeaechildehospitalizedeforestatuseasthmaticus.eWhicheassessmentefindinges
uggestsethatetheechildseconditioneiseworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
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