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A client with croup is asking the nurse about the condition.
The nurse explains that croup is a viral infection that causes inflammation of the upper airway.
The nurse also explains that the most common symptoms of croup are a barking cough, hoarseness, and stridor.
Which of the following statements by the client indicates that they understand the nurse's explanation?

"So, croup is a cold that affects the throat?".

"Croup can be serious, but it usually goes away on its own.”..

"I need to keep my child hydrated and give them over-the-counter fever reducers.”..

"I need to take my child to the emergency room if they have trouble breathing.”..

Answer and Explanation

The Correct Answer is D

Choice A rationale:

This statement does not indicate a complete understanding of croup.

Croup is not just a cold that affects the throat; it specifically involves inflammation of the upper airway.

Choice B rationale:

This statement acknowledges that croup can be serious but usually resolves on its own.

While this is true, it does not encompass the key symptoms and actions the parent should take if the child's condition worsens.

Choice C rationale:

This statement addresses general cold symptoms but does not specifically mention the characteristic symptoms of croup, such as barking cough, hoarseness, and stridor.

Choice D rationale:

This is The correct answer.

It shows an understanding of the symptoms of croup, particularly the mention of having trouble breathing, which is a sign of severe croup that requires medical attention.

Parents should seek emergency medical care if their child experiences difficulty breathing due to croup.

Providing this information demonstrates a comprehensive understanding of the condition.

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Correct Answer is ["A","D"]

Explanation

Choice A rationale:

There is no vaccine to prevent croup, but practicing good hand hygiene and avoiding contact with sick people can help reduce the child's risk of getting croup.

Croup is mainly caused by viral infections, so minimizing exposure to viruses is essential in prevention.

Choice B rationale:

Giving a daily dose of vitamin C is not a proven method for preventing croup.

While vitamin C is essential for overall health, it does not specifically prevent croup.

Providing accurate and evidence-based information is crucial in parental education.

Choice C rationale:

Keeping the child's bedroom cool and humid may provide comfort during the illness, but it is not a proven method for preventing croup.

This statement does not contribute significantly to preventive measures against croup.

Choice D rationale:

Using a humidifier in the home can help maintain adequate humidity levels, which may reduce the risk of croup, especially during dry seasons.

Proper humidity can prevent irritation of the upper respiratory tract and decrease the likelihood of developing croup.

Including this information in the teaching is appropriate and beneficial for the parent to know.

A. High fever. B. Inspiratory stridor. C. Barking cough. D. Wheezing. E. Respiratory distress.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:

High fever is not a typical symptom of croup.

Croup is often caused by viral infections, and high fever is more commonly associated with bacterial infections.

This choice is incorrect.

Choice B rationale:

Inspiratory stridor is a classic symptom of croup and is caused by the narrowing of the larynx and trachea, leading to a high-pitched sound during inspiration.

This choice is correct.

Choice C rationale:

A barking cough is a distinctive symptom of croup and is caused by inflammation of the larynx and trachea.

This choice is correct.

Choice D rationale:

Wheezing is not a typical symptom of croup.

Wheezing is more commonly associated with conditions like asthma, where there is narrowing of the smaller airways (bronchioles).

This choice is incorrect.

Choice E rationale:

Respiratory distress, indicated by increased work of breathing, is a common symptom of croup.

It can manifest as the use of accessory muscles, intercostal retractions, and nasal flaring.

This choice is correct.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a parent about the prevention of croup.Which of the following statements should the nurse include in the teaching?

Correct Answer is ["A","D"]

Explanation

A nurse is educating parents of a child with croup about the signs and symptoms.Which clinical manifestations should the nurse include in the teaching? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a child with croup and needs to implement nursing interventions.What interventions are appropriate for a child with croup? Select all that apply.

A nurse is caring for a child with croup.The child's respiratory status is worsening, and they are becoming increasingly agitated.What action should the nurse take?

A nurse is caring for a child with croup in the hospital.The child is receiving humidified air and nebulized racemic epinephrine.The nurse monitors the child's respiratory status closely.Which of the following findings would indicate to the nurse that the child's condition is worsening?

A nurse is performing a nursing assessment of a child with croup.What should the nurse assess to determine the severity of respiratory distress?

A nurse is assessing a 2-year-old child with croup.The child's mother states that the child has had a barking cough for 2 days, which is worse at night.The child also has a fever and is hoarse.Which of the following statements by the nurse is most appropriate?

A nurse is teaching the parents of a child with croup about home care management.The nurse explains that it is important to keep the child hydrated and to provide humidified air.Which of the following statements by the parent indicates that they understand the nurse's instructions?

Select all that apply.Which of the following are nursing interventions for a child with croup?