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COMPLETE TEST BANK: PEDIATRIC NURSING: A CASE-BASED APPROACH 1ST EDITION BY DR. GANNON TAGHER LATEST UPDATE.
COMPLETE TEST BANK: PEDIATRIC NURSING: A CASE-BASED APPROACH 1ST EDITION BY DR. GANNON TAGHER LATEST UPDATE.
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Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher KnappCOMPLETE TEST BANK:
PEDIATRIC NURSING: A CASE-BASED APPROACH 1ST
EDITION
BY DR. GANNON TAGHER LATEST UPDATE.
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
CHAPTER 1: BRONCHIOLITIS
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. ANS: 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 ANS: 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
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
WITH OTHER CHILDREN WITH RSV INFECTIONS. REVERSE ISOLATION
, Pediatric Nursing, A Case-Based Approach, 1st Edition By Tagher Knapp
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
d. FOREIGN BODY IN TRACHEA ANS: 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
VIRUS. FOREIGN BODY IN THE TRACHEA OCCURS WITH ACUTE RESPIRATORY DISTRESS OR FAILURE AND
MAYBE STRIDOR.
4. WHICH NURSING DIAGNOSIS IS MOST APPROPRIATE FOR AN INFANT WITH ACUTE
BRONCHIOLITIS DUE TO RESPIRATORY SYNCYTIAL VIRUS (RSV)?
a. ACTIVITY INTOLERANCE
b. DECREASED CARDIAC OUTPUT
c. PAIN, ACUTE
d. TISSUE PERFUSION, INEFFECTIVE (PERIPHERAL) ANS. A
RATIONALE 1: ACTIVITY INTOLERANCE IS A PROBLEM BECAUSE OF THE IMBALANCE BETWEEN OXYGEN
SUPPLY AND DEMAND. CARDIAC OUTPUT IS NOT COMPROMISED DURING AN ACUTE PHASE OF
BRONCHIOLITIS. PAIN IS NOT USUALLY ASSOCIATED WITH ACUTE BRONCHIOLITIS. TISSUE PERFUSION
(PERIPHERAL) IS NOT AFFECTED BY THIS RESPIRATORY- DISEASE PROCESS.
RATIONALE 2: ACTIVITY INTOLERANCE IS A PROBLEM BECAUSE OF THE IMBALANCE BETWEEN OXYGEN
SUPPLY AND DEMAND. CARDIAC OUTPUT IS NOT COMPROMISED DURING AN ACUTE PHASE OF
BRONCHIOLITIS. PAIN IS NOT USUALLY ASSOCIATED WITH ACUTE BRONCHIOLITIS. TISSUE PERFUSION
(PERIPHERAL) IS NOT AFFECTED BY THIS RESPIRATORY- DISEASE PROCESS.
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