A 5-year old is brought to the ED with a temperature of 99°F (37.5°C), a barky cough, stridor and hoarseness. Which nursing intervention should the nurse prepare for?
Informing the child's parents about a tonsillectomy.
Immediate IV placement.
A tracheostomy set at the bedside.
Cool mist and respiratory treatment of racemic epinephrine
The Correct Answer is D
A. Informing the child's parents about a tonsillectomy:
Tonsillectomy is not the immediate intervention for the symptoms described. This intervention is not necessary at this point.
B. Immediate IV placement:
While hydration may be necessary, immediate IV placement is not the primary intervention for a child with croup presenting with stridor and hoarseness.
C. A tracheostomy set at the bedside:
While croup can cause airway obstruction, preparing for a tracheostomy is not the initial intervention. Less invasive measures are typically attempted first.
D. Cool mist and respiratory treatment of racemic epinephrine:
This is the correct intervention. Croup, often caused by viral infections, can result in swelling of the upper airway, leading to the characteristic barky cough, stridor, and hoarseness. Administration of cool mist and racemic epinephrine can help reduce airway swelling and alleviate symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide a coloring book so they can color within the lines.
Coloring within the lines is a fine motor skill that is not typically developed at 12 months. Fine motor activities like coloring may become more suitable as the child grows, but at this age, the emphasis is generally on gross motor skills.
B. Provide a stick horse to develop gross motor coordination.
While a stick horse may be a fun toy, it may not be the most appropriate choice for a 12-month-old who is still working on basic motor skills. Gross motor coordination can be better encouraged with toys that support standing, walking, and pushing.
C. Place a cradle gym across the crib to facilitate fine motor skills.
A cradle gym can be appropriate for visual and sensory stimulation, but it is more related to visual tracking and reaching than fine motor skills. Fine motor skills typically involve more intricate hand movements, which may not be fully developed at 12 months.
D. Give large push-pull toys for kinesthetic stimulation.
For a 12-month-old child, appropriate play activities should focus on promoting gross motor skills, coordination, and exploration. Giving large push-pull toys encourages the development of kinesthetic skills, allowing the child to practice standing, walking, and moving. It also supports the development of coordination and balance.
Correct Answer is C
Explanation
A. Show them that the bleeding has stopped.
While showing that the bleeding has stopped is informative, it might not address the child's emotional response or desire for comfort. Applying a band-aid can provide a tangible and comforting solution.
B. Ask why they want a band-aid.
While understanding the child's reasons is important, in this situation, a direct question might not be necessary. The child's request for a band-aid is likely a common response to the perception of an injury or discomfort.
C. Apply a band-aid.
This is the most appropriate intervention in this situation. Applying a band-aid responds to the child's request, provides a tangible form of comfort, and can make the overall experience more positive.
D. Explain that a band-aid is not needed.
While it's true that a band-aid may not be medically necessary, providing one is a simple and kind gesture that can help ease the child's anxiety and contribute to a positive experience.
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