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Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition Tagher Knapp Test Bank Latest Update 2023| All Chapters Covered| ISBN NO:10,| ISBN NO-13,978-1975209063| $16.99
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Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition Tagher Knapp Test Bank Latest Update 2023| All Chapters Covered| ISBN NO:10,| ISBN NO-13,978-1975209063|
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Test Bank For Pediatric Nursing- A Case-Based Approach 2nd Edition Tagher Knapp Test Bank Latest Update 2023| All Chapters Covered| ISBN NO:10,| ISBN NO-13,978-1975209063|

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9/26/23,u4:56uP PediatricuNursing-uAuCase-
M BaseduApproachu1stuEditionuTagheruKnappuTestu…




PediatricuNursingu–uAuCase-BaseduApproachu1stuEditionuTagheruKnappuTestuBank

Chapteru1:u Bronchiolitis

1. Whichuinterventionuisuappropriateuforutheuinfantuhospitalizeduwithubronchiolitis?
a. Positionuonutheusideuwithuneckuslightlyuflexed.
b. Administeruantibioticsuasuordered.
c. Restrictuoraluanduparenteralufluidsuifutachypneic.
d. Giveucool,uhumidifieduoxyge
n.uANS:uD
Cool,uhumidifieduoxygenuisugivenutourelieveudyspnea,uhypoxemia,uanduinsensibleufluidulossufrom
tachypnea.uTheuinfantushouldubeupositioneduwithutheuheaduanduchestuelevateduatuau30-
utou40-
degreeuangleuandutheuneckuslightlyuextendedutoumaintainuanuopenuairwayuandudecreaseupre
ssureuonutheudiaphragm.uTheuetiologyuofubronchiolitisuisuviral.uAntibioticsuareugivenuonlyui
futhereuisua
secondaryubacterialuinfection.uTachypneauincreasesuinsensibleufluiduloss.uIfutheuin
fantuisutachypneic,ufluidsuareugivenuparenterallyutoupreventudehydration.

2. Anuinfantuwithubronchiolitisuisuhospitalized.uTheucausativeuorganismuisurespiratoryusy
ncytialuvirusu(RSV).uTheunurseuknowsuthatuauchilduinfecteduwithuthisuvirusurequiresuw
hatutypeuofuisolation?
a. Reverseuisolation
b. Airborneuisolation
c. ContactuPrecautions
d. StandarduPrecaution
suANS:uC
RSVuisutransmitteduthroughudroplets.uInuadditionutouStandarduPrecautionsuanduhanduwashing,
ContactuPrecautionsuareurequired.uCaregiversumustuuseuglovesuandugownsuwhenuentering
utheuroom.uCareuisutakenunotutoutouchutheiruownueyesuorumucousumembranesuwithuauco
ntaminatedugloveduhand.uChildrenuareuplaceduinuauprivateuroomuoruinuauroomuwithuothe
ruchildrenuwithuRSVuinfections.uReverseuisolationufocusesuonukeepingubacteriauawayufro
mutheuinfant.uWithuRSV,uotheruchildrenuneedutoubeuprotectedufromuexposureutoutheuvirus.
uTheuvirusuisunotuairborne.

3. Auchilduhasuauchronicucoughuandudiffuseuwheezinguduringutheuexpiratoryuphaseuofure
spiration.uThisusuggestsuwhatucondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignubodyuinutrach
eauANS:uA
Asthmaumayuhaveutheseuchronicusignsuandusymptoms.uPneumoniauappearsuwithuanuacuteuonset,
fever,uandugeneralumalaise.uBronchiolitisuisuanuacuteuconditionucausedubyurespiratoryusyncytial




virus.uForeignubodyuinutheutracheauoccursuwithuacuteurespiratoryudistressuorufailureuan
dumaybeustridor.
4. Whichunursingudiagnosisuisumostuappropriateuforuanuinfantuwithuacuteubronchiolitis
udueutourespiratoryusyncytialuvirusu(RSV)?
a. ActivityuIntolerance
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,9/26/23,u4:56uP PediatricuNursing-uAuCase-
M BaseduApproachu1stuEditionuTagheruKnappuTestu…
b. DecreaseduCardiacuOutput
c. Pain,uAcute




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M BaseduApproachu1stuEditionuTagheruKnappuTestu…




virus.uForeignubodyuinutheutracheauoccursuwithuacuteurespiratoryudistressuorufailureuan
dumaybeustridor.
4. Whichunursingudiagnosisuisumostuappropriateuforuanuinfantuwithuacuteubronchiolitis
udueutourespiratoryusyncytialuvirusu(RSV)?
a. ActivityuIntolerance
b. DecreaseduCardiacuOutput
c. Pain,uAcute
d. TissueuPerfusion,uIneffectiveu(peripher
al)uANS.uA
Rationaleu1:uActivityuintoleranceuisuauproblemubecauseuofutheuimbalanceubetweenuoxygenusupply
andudemand.uCardiacuoutputuisunotucompromiseduduringuanuacuteuphaseuofubronchiolitis.
uPainuisunotuusuallyuassociateduwithuacuteubronchiolitis.uTissueuperfusionu(peripheral)uis
unotuaffectedubyuthisurespiratory-diseaseuprocess.
Rationaleu2:uActivityuintoleranceuisuauproblemubecauseuofutheuimbalanceubetweenuoxygen
usupplyuandudemand.uCardiacuoutputuisunotucompromiseduduringuanuacuteuphaseuofubronc
hiolitis.uPainuisunotuusuallyuassociateduwithuacuteubronchiolitis.uTissueuperfusionu(periphe
ral)uisunotuaffectedubyuthisurespiratory-diseaseuprocess.
Rationaleu3:uActivityuintoleranceuisuauproblemubecauseuofutheuimbalanceubetweenuoxygen
usupplyuandudemand.uCardiacuoutputuisunotucompromiseduduringuanuacuteuphaseuofubronc
hiolitis.uPainuisunotuusuallyuassociateduwithuacuteubronchiolitis.uTissueuperfusionu(periphe
ral)uisunotuaffectedubyuthisurespiratory-diseaseuprocess.
Rationaleu4:uActivityuintoleranceuisuauproblemubecauseuofutheuimbalanceubetweenuoxygen
usupplyuandudemand.uCardiacuoutputuisunotucompromiseduduringuanuacuteuphaseuofubronc
hiolitis.uPainuisunotuusuallyuassociateduwithuacuteubronchiolitis.uTissueuperfusionu(periphe
ral)uisunotuaffectedubyuthisurespiratory-diseaseuprocess.
GlobaluRationale:uActivityuintoleranceuisuauproblemubecauseuofutheuimbalanceubetweenu
oxygenusupplyuandudemand.uCardiacuoutputuisunotucompromiseduduringuanuacuteuphaseu
ofubronchiolitis.uPainuisunotuusuallyuassociateduwithuacuteubronchiolitis.uTissueuperfusion
u(peripheral)uisunotuaffectedubyuthisurespiratory-diseaseuprocess.




Chapteru2:uAsthma

1. Theunurseuisucaringuforuauchilduhospitalizeduforustatusuasthmaticus.uWhichuassessment
ufindingusuggestsuthatutheuchildsuconditionuisuworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
uANS:uA




Theunurseuwoulduassessutheuchilduforusignsuofuhypoxia,uincludingurestlessness,ufatigue,uirri
tability,uanduincreaseduheartuandurespiratoryurate.uAsutheuchildutiresufromutheuincreaseduw
orkuofubreathinguhypoventilationuoccursuleadingutouincreaseducarbonudioxideulevels.uTheu
nurseuwouldubeualertuforusignsuofuhypoxia.uThirstuwouldureflectutheuchildsuhydrationustat
us.uBradycardiauisunotuausignuofuhypoxia;utachycardiauis.uClubbingudevelopsuoveruauperio
duofumonthsuinuresponseutouhypoxia.uTheupresenceuofuclubbingudoesunotuindicateutheuchil
dsuconditionuisuworsening.


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, 9/26/23,u4:56uP PediatricuNursing-uAuCase-
M BaseduApproachu1stuEditionuTagheruKnappuTestu…




Theunurseuwoulduassessutheuchilduforusignsuofuhypoxia,uincludingurestlessness,ufatigue,uirri
tability,uanduincreaseduheartuandurespiratoryurate.uAsutheuchildutiresufromutheuincreaseduw
orkuofubreathinguhypoventilationuoccursuleadingutouincreaseducarbonudioxideulevels.uTheu
nurseuwouldubeualertuforusignsuofuhypoxia.uThirstuwouldureflectutheuchildsuhydrationustat
us.uBradycardiauisunotuausignuofuhypoxia;utachycardiauis.uClubbingudevelopsuoveruauperio
duofumonthsuinuresponseutouhypoxia.uTheupresenceuofuclubbingudoesunotuindicateutheuchil
dsuconditionuisuworsening.


2. Whichufindinguisuexpecteduwhenuassessinguauchilduhospitalizeduforuasthma?
a. Inspiratoryustridor
b. Harsh,ubarkyucough
c. Wheezing
d. Rhinorrhea
uANS:uC
Wheezinguisuauclassicumanifestationuofuasthma.uInspiratoryustridoruisuauclinicalumanifestationuof
croup.uAuharsh,ubarkyucoughuisucharacteristicuofucroup.uRhinorrheauisunotuassociateduwithuasthma.


3. Auchilduhasuhaducoldusymptomsuforumoreuthanu2uweeks,uauheadache,unasalucongest
ionuwithupurulentunasaludrainage,ufacialutenderness,uanduaucoughuthatuincreasesuduring
usleep.uTheunurseurecognizesutheseusymptomsuareucharacteristicuofuwhichurespiratoryuc
ondition?
a. Allergicurhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
uANS:uD
Sinusitisuisucharacterizedubyusignsuandusymptomsuofuaucolduthatudounotuimproveuafteru14udays,ua
low-
gradeufever,unasalucongestionuandupurulentunasaludischarge,uheadache,utenderness,uaufeelin
guofufullnessuoverutheuaffectedusinuses,uhalitosis,uanduaucoughuthatuincreasesuwhenutheuch
ilduisulyingudown.uTheuclassicusymptomsuofuallergicurhinitisuareuwateryurhinorrhea,uitchyu
nose,ueyes,uears,uandupalate,uandusneezing.uSymptomsuoccuruasulonguasutheuchilduisuexpo
sedutoutheuallergen.uBronchitisuisucharacterizedubyuaugradualuonsetuofurhinitisuanduaucough
uthatuisuinitiallyunonproductiveubutumayuchangeutouaulooseucough.uTheumanifestationsuofu
asthmaumayuvary,uwithuwheezingubeinguauclassicusign.uTheusymptomsupresenteduinutheuq
uestionudounotusuggestuasthma.
4. Whatuisuaucommonutriggeruforuasthmauattacksuinuchildren?
a. Febrileuepisodes
b. Dehydration
c. Exercise
d. Seizures
uANS:uC




Exerciseuisuoneuofutheumostucommonutriggersuforuasthmauattacks,uparticularlyuinuschool-
ageuchildren.uFebrileuepisodesuareuconsistentuwithuotheruproblems,uforuexample,useizures.u
Dehydrationuoccursuasuauresultuofudiarrhea;uitudoesunotutriggeruasthmauattacks.uViraluinfect
ionsuareutriggersuforuasthma.uSeizuresucanuresultufromuautoo-
rapiduintravenousuinfusionuofutheophyllineautherapyuforuasthma.
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