BasedApproach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,Chapterc1:c Bronchiolitis
1. Whichcinterventionciscappropriatecforcthecinfantchospitalizedcwithcbronchiolitis?
a. Positionconcthecsidecwithcneckcslightlycflexed.
b. Administercantibioticscascordered.
c. Restrictcoralcandcparenteralcfluidscifctachypneic.
d. Giveccool,chumidifiedc
oxygen.cANSWER:cD
Cool,chumidifiedcoxygenciscgivenctocrelievecdyspnea,chypoxemia,candcinsensiblecfluidclosscfromctachy
pnea.cThecinfantcshouldcbec positionedcwithcthecheadcandcchestcelevatedcatc ac30-ctoc 40-
degreecanglecandcthecneckcslightlycextendedctocmaintaincancopencairwaycandcdecreasecpressureconcthecd
iaphragm.cThecetiologycofcbronchiolitisciscviral.cAntibioticscarecgivenconlycifcthereciscacsecondarycbacter
ialcinfection.cTachypneacincreasescinsensiblecfluidcloss.cIfcthecinfantcisctachypneic,cfluidscarecgivencpare
nterallyctocpreventcdehydration.
3. Acchildchascacchronicccoughcandcdiffusecwheezingcduringcthecexpiratorycphasecofcrespiration.cT
hiscsuggestscwhatccondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreigncbodycinc
tracheacANSWER:cA
Asthmacmaychavecthesec chronicc signscandcsymptoms.c Pneumoniacappearscwithcancacuteconset,cfever,cand
cgeneralcmalaise.cBronchiolitisc iscancacutecconditionc causedcbycrespiratorycsyncytial
1. Thecnursecisccaringcforcacchildchospitalizedcforcstatuscasthmaticus.cWhichcassessmentcfi
ndingcsuggestscthatcthecchildscconditionciscworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
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