A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?
Bronchiolitis
Asthma
Nasopharyngitis
Bacterial epiglottitis
The Correct Answer is D
A. Bronchiolitis usually presents with wheezing and difficulty breathing, not drooling or inability to cough.
B. Asthma typically presents with wheezing, shortness of breath, and coughing, but not with drooling or an inability to cough.
C. Nasopharyngitis, or the common cold, usually causes symptoms like runny nose, cough, and sore throat, but not drooling or agitation.
D. Bacterial epiglottitis is a life-threatening condition characterized by drooling, agitation, inability to cough, and potential airway obstruction. The child often appears anxious and sits leaning forward in a "tripod" position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
High dose intravenous immunoglobulins: Kawasaki disease is characterized by a prolonged fever, rash, and systemic inflammation. The first-line treatment for Kawasaki disease includes high-dose intravenous immunoglobulins (IVIG), which help reduce inflammation and prevent coronary artery damage.
Aspirin is used in the management of Kawasaki disease to address inflammation and reduce fever. It is also used to prevent coronary artery complications, as it has antiplatelet effects that help mitigate the risk of thrombus
Correct Answer is A
Explanation
A. Topical corticosteroid ointments are commonly used to reduce inflammation and treat flare-ups in children with eczema. The nurse should instruct the parent on the proper use of these medications.
B. Bubble baths can be irritating to the skin and should be avoided, especially in children with eczema, as they can exacerbate dryness and irritation.
C. The skin should be patted dry rather than rubbed, and moisturizers should be applied while the skin is still slightly damp to help retain moisture.
D. Fabric softeners can be irritating to sensitive skin and are not recommended for laundering the clothing of children with eczema.
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