{"id":116348,"date":"2023-08-25T09:44:33","date_gmt":"2023-08-25T09:44:33","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116348"},"modified":"2023-08-25T09:44:38","modified_gmt":"2023-08-25T09:44:38","slug":"pediatric-nursing-a-case-based-approach-1st-edition-tagher-knapp-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/pediatric-nursing-a-case-based-approach-1st-edition-tagher-knapp-test-bank\/","title":{"rendered":"Pediatric Nursing \u2013 A Case-Based Approach 1st Edition Tagher Knapp Test Bank"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>Pediatric Nursing \u2013 A Case-Based Approach 1st Edition Tagher<br>Knapp Test Bank<br>Chapter 1: Bronchiolitis<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which intervention is appropriate for the infant hospitalized with bronchiolitis?<br>Position on the side with neck slightly flexed.<br>ANS: D<br>Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible<br>fluid loss from tachypnea. The infant should be positioned with the head and chest<br>elevated at a 30- to 40-degree angle and the neck slightly extended to maintain an<br>open airway and decrease pressure on the diaphragm. The etiology of bronchiolitis<br>is viral. Antibiotics are given only if there is a secondary bacterial infection.<br>Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are<br>given parenterally to prevent dehydration.<\/li>\n\n\n\n<li>An infant with bronchiolitis is hospitalized. The causative organism is<br>respiratory syncytial virus (RSV). The nurse knows that a child infected with<br>this virus requires what type of<br>isolation?<br>ANS: C<br>RSV is transmitted through droplets. In addition to Standard Precautions and hand<br>washing, Contact Precautions are required. Caregivers must use gloves and gowns<br>when entering the room. Care is taken not to touch their own eyes or mucous<br>membranes with a contaminated gloved hand. Children are placed in a private<br>room or in a room with other children with RSV infections. Reverse isolation<br>focuses on keeping bacteria away from the infant. With RSV, other children need<br>to be protected from exposure to the virus. The virus is not airborne.<br>a.<br>b. Administer antibiotics as ordered.<br>c. Restrict oral and parenteral fluids if tachypneic.<br>d. Give cool, humidified oxygen.<br>a. Reverse isolation<br>b. Airborne isolation<br>c. Contact Precautions<br>d. Standard Precautions<\/li>\n\n\n\n<li>A child has a chronic cough and diffuse wheezing during the expiratory phase of<br>respiration. This suggests what condition?<br>ANS: A<br>Asthma may have these chronic signs and symptoms. Pneumonia appears with an<br>acute onset, fever, and general malaise. Bronchiolitis is an acute condition caused<br>by respiratory syncytial virus. Foreign body in the trachea occurs with acute<br>respiratory distress or failure and maybe stridor.<\/li>\n\n\n\n<li>Which nursing diagnosis is most appropriate for an infant with acute<br>bronchiolitis due torespiratory syncytial virus (RSV)?<br>a. Activity Intolerance<br>b. Decreased Cardiac Output<br>c. Pain, Acute<br>d. Tissue Perfusion, Ineffective (peripheral)<br>ANS. A<br>Rationale 1: Activity intolerance is a problem because of the imbalance between<br>oxygen supply and demand. Cardiac output is not compromised during an acute<br>phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis.<br>Tissue perfusion (peripheral) is not affected by this respiratory-disease process.<br>Rationale 2: Activity intolerance is a problem because of the imbalance between<br>oxygen supply and demand. Cardiac output is not compromised during an acute<br>phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis.<br>Tissue perfusion (peripheral) is not affected by this respiratory-disease process.<br>Rationale 3: Activity intolerance is a problem because of the imbalance between<br>oxygen supply and demand. Cardiac output is not compromised during an acute<br>phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis.<br>Tissue perfusion (peripheral) is not affected by this respiratory-disease process.<br>Rationale 4: Activity intolerance is a problem because of the imbalance between<br>oxygen supply and demand. Cardiac output is not compromised during an acute<br>phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis.<br>Tissue perfusion (peripheral) is not affected by this respiratory-disease process.<br>a. Asthma<br>b. Pneumonia<br>c. Bronchiolitis<br>d. Foreign body in trachea<\/li>\n<\/ol>\n\n\n\n<p>Global Rationale: Activity intolerance is a problem because of the imbalance<br>between oxygen supply and demand. Cardiac output is not compromised during an<br>acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis.<br>Tissue perfusion (peripheral) is not affected by this respiratory-disease process.<br>Chapter 2: Asthma<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is caring for a child hospitalized for status asthmaticus. Which<br>assessment finding suggests that the childs condition is worsening?<br>Bradycardia The nurse would assess the child for signs of hypoxia, including restlessness,<br>fatigue, irritability, and increased heart and respiratory rate. As the child tires from the<br>increased work of breathing hypoventilation occurs leading to increased carbon dioxide levelsThe nurse would be alert for signs of hypoxia. Thirst would reflect the childs hydration statusBradycardia is not a sign of hypoxia; tachycardia is. Clubbing develops over a period of<br>months in response to hypoxia. The presence of clubbing does not indicate the childs conditiois worsening.<\/li>\n\n\n\n<li>Which finding is expected when assessing a child hospitalized for asthma?<br>ANS: C<br>Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical<br>manifestation of croup. A harsh, barky cough is characteristic of croup.<br>Rhinorrhea is not associated with asthma.<br>a. Hypoventilation<br>b. Thirst<br>c.<br>d. Clubbing<br>ANS: A<br>a. Inspiratory stridor<br>b. Harsh, barky cough<br>c. Wheezing<br>d. Rhinorrhea<\/li>\n\n\n\n<li>A child has had cold symptoms for more than 2 weeks, a headache, nasal<br>congestion with purulent nasal drainage, facial tenderness, and a cough that<br>increases during sleep. The nurse recognizes these symptoms are characteristic<br>of which respiratory condition?<br>Allergic rhinitis<br>ANS: D<br>Sinusitis is characterized by signs and symptoms of a cold that do not improve<br>after 14 days, a low-grade fever, nasal congestion and purulent nasal discharge,<br>headache, tenderness, a feeling of fullness over the affected sinuses, halitosis, and<br>a cough that increases when the child is lying down. The classic symptoms of<br>allergic rhinitis are watery rhinorrhea, itchy nose, eyes, ears, and palate, and<br>sneezing. Symptoms occur as long as the child is exposed to the allergen.<br>Bronchitis is characterized by a gradual onset of rhinitis and a cough that is<br>initially nonproductive but may change to a loose cough. The manifestations of<br>asthma may vary, with wheezing being a classic sign. The symptoms presented in<br>the question do not suggest asthma.<\/li>\n\n\n\n<li>What is a common trigger for asthma attacks in children?<br>a. Febrile episodes Exercise is one of the most common triggers for asthma attacks,<br>particularly in school-age children. Febrile episodes are consistent with other problems, for<br>example, seizures. Dehydration occurs as a result of diarrhea; it does not trigger asthma<br>attacks. Viral infections are triggers for asthma. Seizures can result from a too-rapid<br>intravenous infusion of theophyllinea therapy for asthma.<br>5.The practitioner changes the medications for the child with asthma to salmeterol<br>(Serevent). The mother asks the nurse what this drug will do. The nurse explains<br>that salmeterol (Serevent) is used to treat asthma because the drug produces which<br>characteristic?<br>a.<br>b. Bronchitis<br>c. Asthma<br>d. Sinusitis<br>b. Dehydration<br>c. Exercise<br>d. Seizures<br>ANS: C<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Pediatric Nursing \u2013 A Case-Based Approach 1st Edition TagherKnapp Test BankChapter 1: Bronchiolitis Global Rationale: Activity intolerance is a problem because of the imbalancebetween oxygen supply and demand. Cardiac output is not compromised during anacute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis.Tissue perfusion (peripheral) is not affected by this respiratory-disease process.Chapter [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116348","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116348"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116348\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}