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 C
Explanation
A. Begin with taking all the vital signs.
This is not the preferred approach for assessing a 10-month-old infant. Vital signs may be intimidating and intrusive, and starting with less invasive methods is generally recommended.
B. Use the Faces scale to rate their pain.
The Faces scale is typically used for older children who can express themselves verbally. It may not be suitable for a 10-month-old infant.
C. Start with less intrusive methods.
This is the correct choice. Beginning with less intrusive methods, such as observation and gentle interactions, helps build trust and ensures the infant is comfortable during the assessment.
D. Be systematic and go in a head-to-toe order.
While being systematic is important, starting with less intrusive methods and adapting the approach based on the infant's response is generally more appropriate than a strict head-to-toe order.
Correct Answer is C
Explanation
A. Magical thinking
Magical thinking is a cognitive characteristic commonly observed in preschool-aged children. It involves believing that one's thoughts, wishes, or actions can influence events, even when there is no logical or causal connection. For example, a preschooler might believe that simply thinking about a toy can make it appear.
B. Thoughts are all-powerful
The belief that thoughts have omnipotent power is often seen in the preoperational stage of cognitive development, which occurs in early childhood. Children in this stage may think that their thoughts alone can cause significant changes or events.
C. Ability to conserve
Conservation is a cognitive skill associated with the concrete operational stage of development, typically occurring around 7 to 11 years of age. Children at this stage understand that certain properties of objects remain the same despite changes in appearance. For example, they recognize that the amount of liquid stays the same when poured into a differently shaped container.
D. Animism
Animism is a concept observed in the preoperational stage, where children attribute life-like qualities to inanimate objects. For instance, a child might believe that a stuffed animal has feelings or thoughts.
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