A 10-month-old diagnosed with croup syndrome is NPO. The nurse explains the rationale for this order is based upon which assessment finding?
Barky non-productive cough
Temperature of 102 F rectally
Respiratory rate of 68
Hoarseness
The Correct Answer is C
Rationale:
A. A barky cough is a common symptom of croup but does not alone justify making the child NPO.
B. A fever, while concerning, does not indicate a need to withhold oral intake.
C. A respiratory rate of 68 is significantly elevated for a 10-month-old and indicates respiratory distress. When breathing is rapid or labored, there is a high risk of aspiration; therefore, the child is made NPO (nothing by mouth) for safety.
D. Hoarseness is another symptom of croup, but not a reason alone to restrict oral intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Cystic fibrosis affects the CFTR protein, which regulates sodium and chloride transport across epithelial cells. This dysfunction leads to abnormal salt (sodium) loss in sweat and contributes to hyponatremia, as seen in this child.
B. Oxygen saturation decreases—not increases—due to impaired gas exchange caused by thick mucus and lung damage.
C. Although CF can affect pancreatic function (leading to diabetes over time), the intestines are not the primary reason for elevated blood glucose in CF.
D. Potassium levels are generally not directly affected by mucus production in the lungs.
Correct Answer is B
Explanation
Rationale:
A. Offering choices, when appropriate, actually decreases noncompliance by giving the child a sense of control.
B. Giving pediatric clients limited choices (e.g., “Do you want your medicine with apple juice or water?”) empowers them, reduces anxiety, and promotes trust and cooperation with care.
C. Offering choices does not impact the length of the hospital stay.
D. While it may improve cooperation during medication administration, it does not eliminate the need for it.
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