A nurse is caring for a 2-year-old with acute laryngotracheobronchitis using a cool mist humidifier. Which of the following findings indicates that the treatment has been effective?

Improved hydration

Decreased stridor

Barking cough

Decreased temperature

Answer and Explanation

The Correct Answer is B

A.   Improved hydration is important for managing symptoms but is not directly related to the effectiveness of a cool mist humidifier.
B.   Stridor is a hallmark sign of airway obstruction and inflammation in laryngotracheobronchitis. A decrease in stridor indicates that the airways are less inflamed and the child is improving, which is a positive outcome of the humidification treatment.
C.   A barking cough is characteristic of croup (laryngotracheobronchitis), and while treatment may help reduce symptoms, it may not resolve completely with the use of a humidifier.
D.   While a decreased temperature may indicate improvement in a fever, it is not directly tied to the use of a humidifier. Stridor is a more specific sign of airway improvement in this condition.

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 C

Explanation

A. Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B. Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C. Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D. It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.

A. Assessing vital signs with temperature and oxygen saturation. B. Gathering necessary supplies for possible intubation. C. Assessing the child's throat using a tongue blade. D. Reporting an elevated white blood count to the health care provider.

Correct Answer is C

Explanation

A. Assessing vital signs, including temperature and oxygen saturation, is appropriate for monitoring the child's condition and identifying any signs of respiratory distress or infection.
B. Gathering necessary supplies for possible intubation is a proactive measure in case the child experiences airway obstruction. Acute epiglottitis can lead to rapid deterioration in the child's airway.
C. Assessing the child's throat using a tongue blade can trigger airway obstruction in a child with acute epiglottitis, which is a medical emergency. The throat should not be examined visually due to the risk of causing a spasm or obstruction.
D. Reporting an elevated white blood count is a normal part of managing acute infections, such as epiglottitis, and should be done to inform the healthcare provider of the patient's condition.

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 caring for a 2-year-old with acute laryngotracheobronchitis using a cool mist humidifier. Which of the following findings indicates that the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A charge nurse on a pediatric unit is observing a newly licensed nurse provide care for a child diagnosed with acute epiglottis. Which of the following actions by the newly licensed nurse indicates that the charge nurse should intervene?

Correct Answer is C

Explanation

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider as a concern?

A nurse is providing discharge teaching about nutrition to the parents of a 9-year-old child with cystic fibrosis (CF). The nurse should recognize that which statement made by the mother indicates understanding about nutrition?

A nurse is providing teaching to a parent of a 5-year-old client diagnosed with celiac disease. The nurse should include which of the following food choices in the teaching plan?

A nurse is caring for a 5-year-old child who is 3 hours post-operative uncomplicated tonsillectomy. Which of the following actions are appropriate post op care? (SELECT ALL THAT APPLY)

A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?

A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)