A nurse in a clinic is assisting with the care of a 3-year-old toddler.
The nurse is reviewing the collected data.
For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.
Type of cough
Irritability
Fever
Stridor
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}
Acute Laryngotracheobronchitis (Croup): This condition typically presents with a barking, seal-like cough and inspiratory stridor due to inflammation of the upper airway, often caused by a viral infection such as parainfluenza virus.
Pneumonia: While irritability and fever can be present in both conditions, the presence of stridor (especially inspiratory) is more characteristic of Acute Laryngotracheobronchitis. Pneumonia typically presents with a productive cough, fever, and signs of lower respiratory tract involvement such as crackles or decreased breath sounds on auscultation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Corticosteroid ointment is not recommended for viral conjunctivitis as it can exacerbate the infection or prolong the healing process. Viral conjunctivitis typically resolves on its own without the need for corticosteroids.
B. Cleaning the eye by wiping downward and outward from the inner canthus helps to remove discharge and prevent the spread of infection. This technique ensures that contaminants are removed efficiently and reduces the risk of re-infection.
C. Antibiotic eye ointment is not indicated for viral conjunctivitis, as antibiotics are ineffective against viruses. Treatment typically focuses on symptom relief rather than antibacterial therapy.
D. While cool compresses can provide symptom relief, continuous application is not necessary. Intermittent cool compresses may help to soothe irritation and reduce swelling, but continuous use is not required.
Correct Answer is C
Explanation
A. Drawing a blood culture is not indicated for suspected Clostridium difficile, as it is a gastrointestinal infection.
B. A stool specimen for occult blood is not specific for diagnosing Clostridium difficile.
C. Obtaining a stool specimen for culture is the appropriate action to diagnose Clostridium difficile, as it will identify the presence of the bacteria.
D. A tape test is used to detect pinworms, not Clostridium difficile.
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