A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?

Pertussis

Asthma

Bronchiolitis

Acute Laryngotraceobronchitis (LTB)

Answer and Explanation

The Correct Answer is A

A. Pertussis:

Pertussis, commonly known as whooping cough, is caused by the bacterium Bordetella pertussis. It is characterized by a persistent cough with a distinctive "whoop" sound during the inspiratory phase. The cough can be severe and may last for several weeks. The characteristic whooping sound is due to the rapid intake of breath after a coughing episode.

B. Asthma:

Asthma is a chronic respiratory condition characterized by recurrent episodes of wheezing, coughing, and shortness of breath. It is not typically associated with a whooping sound during the inspiratory phase. Asthma symptoms are often triggered by factors such as allergies, exercise, or exposure to irritants.

C. Bronchiolitis:

Bronchiolitis is commonly caused by respiratory syncytial virus (RSV), especially in infants. It presents with symptoms such as cough, wheezing, and respiratory distress. However, it does not involve the characteristic whooping cough sound seen in pertussis.

D. Acute Laryngotracheobronchitis (LTB):

Acute Laryngotracheobronchitis, or croup, is characterized by a barking cough, stridor (a high-pitched sound during inhalation), and respiratory distress. It is common in young children and is often caused by viruses. Unlike pertussis, it does not typically include the distinctive whooping sound.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["0.1696"]

Explanation

To calculate the ordered dose by the physician in mg/kg/dose, we need to convert the infant's weight from pounds and ounces to kilograms. One pound is equal to 0.4536 kg and one ounce is equal to 0.02835 kg. Therefore, the infant's weight in kilograms is:

6 x 0.4536 + 3 x 0.02835 = 2.948 kg

The ordered dose by the physician is 0.5 mg IV q 2 hours prn. To find the dose in mg/kg/dose, we divide the dose in mg by the weight in kg:

0.5 / 2.948 = 0.1696 mg/kg/dose

The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. The ordered dose by the physician falls within this range, so it is a safe dosage for the infant.

A. Preventing spread of infection B. Maintaining skin integrity C. Improving nutrition D. Promoting comfort

Correct Answer is A

Explanation

A. Preventing spread of infection:

This is the highest priority goal because individuals with acquired immunodeficiency syndrome (AIDS) have a severely compromised immune system, making them more susceptible to infections. Preventing the spread of infection is crucial not only for the individual's well-being but also to reduce the risk of transmitting the virus to others.

B. Maintaining skin integrity:

Skin integrity is important, but it may not be the highest priority compared to preventing the spread of infection. Skin breakdown can occur in individuals with compromised immune systems, making them more susceptible to infections, but direct measures to prevent infection take precedence.

C. Improving nutrition:

Nutrition is vital for overall health, including immune function. However, in the context of AIDS, preventing the spread of infection is considered a higher priority. Nutritional support is important but may be addressed concurrently with other goals.

D. Promoting comfort:

Comfort is an important aspect of care, but it may not be the highest priority when compared to preventing the spread of infection. Comfort measures can be integrated into the overall care plan, but infection prevention takes precedence due to the immunocompromised state of the individual.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant weighing 6 pounds 3 ounces has morphine 0.5 mg IV q 2 hours prn ordered for post op pain. The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. Prove mathematically the ordered dose by the physician (mg/kg/dose) and is it safe to give.

Correct Answer is ["0.1696"]

Explanation

The nurse is caring for a 16-year-old child with a diagnosis of acquired immunodeficiency syndrome (AIDS). What treatment goal has the highest priority for this child?

Correct Answer is A

Explanation

The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis capitis. Which should the nurse include in the teaching session (Select all that apply)?

The nurse is performing a physical assessment on a 6-month-old baby. Which finding should the nurse understand as abnormal for this child?

The physician has ordered 350 mg of ampicillin IM. The ampicillin is available as 1 g/5 mL. How many mLs does the nurse need to draw up for an IM injection?

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

A nurse is preparing to administer scheduled immunizations to a 5-year-old child. Which of the following vaccines should the nurse plan to administer (Select all that apply)?

A nurse has completed a teaching session for parents about “baby/child-proofing” the home. Which statements made by the parents indicate an understanding of the teaching (Select All That Apply)?

An adolescent patient is to receive 50 mL of Cefazolin IV over 40 minutes. With a tubing drop factor of 20 gtt/mL, how many drops per minute (gtt/min) should be given?

A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?