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.

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Correct Answer is C

Explanation

A. Tracheoesophageal fistula is a congenital anomaly that affects the esophagus and is not associated with abdominal masses or blood and mucus in the stool.
B. Hypertrophic pyloric stenosis typically causes projectile vomiting and failure to thrive, but it does not typically present with an abdominal mass or blood in the stool.
C. Intussusception occurs when part of the intestine telescopes into another part, causing a mass, abdominal pain, and sometimes blood and mucus in the stools, which is consistent with the signs described.
D. Inguinal hernia is a protrusion of abdominal contents into the groin area, not typically associated with abdominal masses in the upper quadrant or blood in the stool.

A. Demonstrate dressing change with the client using a doll B. Complete the dressing change while distracting the child C. Have the child watch a video demonstrating the dressing change D. Have the child assist with the dressing change

Correct Answer is A

Explanation

A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.

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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 1-month-old infant who has a palpable abdominal mass in the right upper quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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