A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?
Productive cough, rales
Fever, general malaise
Stridor, suprasternal retractions
Nonproductive cough, wheezing
The Correct Answer is D
A. Productive cough, rales
A productive cough with rales (crackling or bubbling sounds in the lungs) is more indicative of conditions like pneumonia or bronchitis, not necessarily asthma.
B. Fever, general malaise
Fever and general malaise are more consistent with infections and not specific to asthma.
C. Stridor, suprasternal retractions
Stridor (high-pitched sound during breathing) and suprasternal retractions (visible sinking of the area just above the breastbone during inhalation) can be associated with upper airway obstruction but are not typical findings in asthma.
D. Nonproductive cough, wheezing
Asthma often presents with a nonproductive cough and wheezing. Wheezing is a common characteristic of asthma due to narrowed airways.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bronchiolitis:
Bronchiolitis is typically characterized by inflammation of the bronchioles, causing symptoms such as wheezing and respiratory distress. However, the symptom of tasting salt on the skin is not directly associated with bronchiolitis.
B. Pharyngitis:
Pharyngitis, or inflammation of the throat, may cause symptoms like a sore throat, but it is not typically associated with a salty taste on the skin.
C. Asthma:
Asthma is a chronic condition characterized by airway inflammation and bronchoconstriction. While it can cause respiratory symptoms, it is not specifically associated with a salty taste on the skin.
D. Cystic Fibrosis:
Cystic Fibrosis is a genetic disorder that affects the respiratory, digestive, and reproductive systems. It often leads to salty-tasting skin due to increased salt content in sweat. The presence of a salty taste on the skin can be a significant indicator of cystic fibrosis.
Correct Answer is C
Explanation
A. Ridiculing their fears so they understand that there is no need to be afraid.
This option is not recommended. Ridiculing a child's fears can be emotionally harmful and may lead to increased anxiety. It's important to approach fears with empathy and support.
B. Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are.
While providing information and reassurance is important, simply dismissing or explaining away a child's fears may not be sufficient. Preschoolers may need more concrete strategies and involvement in managing their fears.
C. Actively involving them in finding practical methods to deal with the frightening experience.
This is the recommended choice. Actively involving preschoolers in finding practical methods allows them to participate in the process, promoting a sense of control and autonomy. It encourages them to develop coping skills.
D. Forcing them to confront the frightening object or experience in the presence of their parents.
Forcing a child to confront their fears may intensify anxiety and is generally not a recommended approach. It's essential to respect a child's pace and provide support as they work through their fears.
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