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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?

"This sounds like croup.

"Croup is a serious condition.

"There's nothing we can do for croup.

"Croup is caused by a bacterial infection.

m going to give your child some antibiotics.”..

Answer and Explanation

The Correct Answer is A

The nurse should assess the child's vital signs and listen to his lungs.

Choice A rationale:

Assessing vital signs, including heart rate, respiratory rate, oxygen saturation, and temperature, is essential in evaluating the child's overall condition and the severity of respiratory distress.

Listening to the child's lungs can help identify abnormal breath sounds, such as stridor or wheezing, which are common in croup.

This information guides further interventions and helps determine the appropriate level of care.

Choice B rationale:

While croup can cause respiratory distress, not every case requires an emergency room visit.

The severity of symptoms, including the child's ability to breathe and oxygenate, should guide the decision to seek emergency care.

In this scenario, assessing vital signs and lung sounds is the initial appropriate action.

Choice C rationale:

Croup is a treatable condition, and there are specific interventions, such as providing humidified air and corticosteroids, that can alleviate symptoms and prevent complications.

It is incorrect to tell the parent that there is nothing that can be done for croup.

Medical intervention can significantly improve the child's condition.

Choice D rationale:

Croup is primarily caused by viral infections, not bacterial infections.

Administering antibiotics without confirming a bacterial infection is inappropriate and contributes to antibiotic resistance.

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Correct Answer is A

Explanation

The correct answer is choice A, “Your son has croup.”

Choice A rationale:

The symptoms described, including a barking cough, hoarseness, and inspiratory stridor, are classic signs of croup. Croup is a common respiratory condition in young children that leads to swelling of the larynx and trachea, causing the characteristic cough and stridor.

Choice B rationale:

While epiglottitis can present with respiratory distress, it is more commonly associated with high fever, severe sore throat, drooling, and difficulty swallowing, rather than a barking cough and stridor.

Choice C rationale:

Asthma typically presents with wheezing and difficulty exhaling, not the barking cough and inspiratory stridor seen in croup. Additionally, asthma is often associated with a history of allergies or atopic conditions, which are not mentioned in the scenario.

Choice D rationale:

Pneumonia usually presents with fever, cough producing phlegm, and crackles or wheezes on lung auscultation. The clear lungs on auscultation and the absence of productive cough make pneumonia less likely in this case.

In summary, the presentation of a barking cough, hoarseness, and inspiratory stridor in a young child who is in moderate respiratory distress with a recent onset of symptoms is most indicative of croup. This is supported by the age of the child and the clinical findings, which align with the typical presentation of croup.

A. "So, croup is a cold that affects the throat?". B. "Croup can be serious, but it usually goes away on its own.”.. C. "I need to keep my child hydrated and give them over-the-counter fever reducers.”.. D. "I need to take my child to the emergency room if they have trouble breathing.”..

Correct Answer is D

Explanation

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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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is 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.

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

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?

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

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?

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 teaching a parent about the signs and symptoms of croup. Which of the following statements should the nurse include in the teaching? Select all that apply.

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?