A nurse is caring for a 3-year-old child.

Exhibit 1

Exhibit 2 Nurses' Notes

0730:

Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms.

Respirations easy, no cough noted.

0800:

Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.

For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.

Assessment Findings: Acute laryngotracheobronchitis /Pneumonia

Irritability

Temperature

Cough findings at 0800

Stridor

Answer and Explanation

The Correct Answer is A

A.   This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children.
B.   Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. It is a non-specific symptom that can occur with various respiratory illnesses.
C.   This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation, while pneumonia causes a productive cough that may be accompanied by chest pain or difficulty breathing.
D.   This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation, while pneumonia affects the lower airway and does not usually cause stridor.

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Correct Answer is ["12.5"]

Explanation

To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms. To do this, we multiply 55 lb by 0.4536 kg/lb, which gives us 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams. To do this, we multiply 10 mg/kg by 24.948 kg, which gives us 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer. To do this, we use the formula:

(mg of ibuprofen) / (mg/mL of ibuprofen solution) = mL of ibuprofen solution

Substituting the values, we get:

(249.48 mg) / (100 mg/5 mL) = 12.474 mL

Rounding to the nearest tenth, the answer is 12.5 mL. Therefore, the nurse should administer 12.5 mL of ibuprofen solution to the child.

A. "You should cut and file your child's fingernails frequently." B. "Your child's condition is contagious when lesions are present." C. "You should apply emollients to your child's skin after bathing." D. "You should use a mild detergent for your child's laundry." E. "You should apply a thick layer of pimecrolimus cream to your child's lesions. F. "You can apply gloves to your child's hands." G. "Your child will experience occasional flare-ups of this condition."

Correct Answer is ["A","C","D","F","G"]

Explanation

A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B. Atopic dermatitis is not contagious, so this statement is incorrect.
C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching.
D. Using a mild detergent for the child's laundry can help minimize skin irritation.
E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["12.5"]

Explanation

Nurses' Notes

Correct Answer is ["A","C","D","F","G"]

Explanation

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