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Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters $14.89
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Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters
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Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition by Tagher Knapp Chapters 1 - 34 | All Chapters

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  • August 31, 2024
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Test Bank For Pediatric Nursing- A Case-
c




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.

2. Ancinfantcwithcbronchiolitiscischospitalized.cTheccausativecorganismciscrespiratorycsyncyt
ialcvirusc(RSV).cThecnursecknowscthatcacchildcinfectedcwithcthiscviruscrequirescwhatctypecofci
solation?
a. Reversecisolation
b. Airbornecisolation
c. Contactc Precautions
d. StandardcPrecautionsc
ANSWER:cC
RSVc isctransmittedc throughc droplets.c IncadditionctocStandardc Precautionsc andchandc washing,cContactc
Precautionscarecrequired.cCaregiversc mustcusec glovesc andc gownscwhencenteringcthecroom.cCarec isctake
nc notctoc touchctheircownc eyesc orcmucousc membranesc withcaccontaminatedc glovedchand.cChildrencarecpl
acedc incacprivatecroomcorc incacroomcwithcothercchildrencwithcRSVc infections.
Reversecisolationcfocusesconckeepingcbacteriacawaycfromcthecinfant.cWithcRSV,cothercchildrencneedctoc
becprotectedcfromcexposurectocthecvirus.cThecvirusciscnotcairborne.

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

, virus.cForeigncbodycincthectracheacoccurscwithcacutecrespiratorycdistresscorcfailurecandcmaybecstridor.

4. Whichcnursingcdiagnosisciscmostc appropriatecforcancinfantc withcacutecbronchiolitiscduectocre
spiratorycsyncytialcvirusc(RSV)?

a. ActivitycIntolerance
b. Decreasedc Cardiacc Output
c. Pain,cAcute
d. TissuecPerfusion,cIneffectivec(peripheral)c
ANS.cA
Rationalec1:cActivitycintoleranceciscacproblemcbecausecofcthecimbalancecbetweencoxygencsupplycandc
demand.cCardiacc outputc iscnotccompromisedc duringcancacutecphasecofcbronchiolitis.c Painc isc notcusuall
ycassociatedcwithcacutecbronchiolitis.cTissuecperfusionc(peripheral)c iscnotcaffectedcbycthiscrespiratory-
diseasecprocess.
Rationalec2:cActivitycintoleranceciscacproblemcbecausecofcthecimbalancecbetweencoxygencsupplycandcde
mand.cCardiacc outputc iscnotccompromisedc duringcancacutecphasecofcbronchiolitis.c Painc isc notcusuallycas
sociatedcwithcacutecbronchiolitis.cTissuecperfusionc(peripheral)c iscnotcaffectedcbyc thiscrespiratory-
diseasecprocess.
Rationalec3:cActivitycintoleranceciscacproblemcbecausecofcthecimbalancecbetweencoxygencsupplycandc
demand.cCardiacc outputc iscnotccompromisedc duringcancacutecphasecofc bronchiolitis.c Painc isc notcusuall
ycassociatedcwithcacutecbronchiolitis.cTissuecperfusionc(peripheral)c iscnotcaffectedcbycthiscrespiratory-
diseasecprocess.
Rationalec4:cActivitycintoleranceciscacproblemcbecausecofcthecimbalancecbetweencoxygencsupplycandcde
mand.cCardiacc outputc iscnotccompromisedc duringcancacutecphasecofcbronchiolitis.c Painc isc notcusuallycas
sociatedcwithcacutecbronchiolitis.cTissuecperfusionc(peripheral)c iscnotcaffectedcbyc thiscrespiratory-
diseasecprocess.
GlobalcRationale:cActivitycintoleranceciscacproblemcbecausecofcthecimbalancecbetweencoxygencsuppl
ycandcdemand.cCardiaccoutputc iscnotccompromisedc duringcancacutecphasec ofcbronchiolitis.cPainciscnotc
usuallycassociatedcwithcacutecbronchiolitis.cTissuecperfusionc(peripheral)c iscnotc affectedcbycthiscrespi
ratory-diseasecprocess.




Chapterc2:cAsthma

1. Thecnursecisccaringcforcacchildchospitalizedcforcstatuscasthmaticus.cWhichcassessmentcfi
ndingcsuggestscthatcthecchildscconditionciscworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing

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