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 B

Explanation

Rationale:
A) Placing the child in a prone position can obstruct the airway and increase the risk of aspiration.
B) Clearing the area of hard objects helps prevent injury during a seizure.
C) Inserting a tongue blade between the teeth can cause oral trauma and should be avoided.
D) Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.

A. Resistant to routines B. Frequent negative responses C. Less emotionally labile D. Increased dependency

Correct Answer is B

Explanation

A. Resistant to routines: While toddlers can be resistant to routines, this is not a defining characteristic of typical toddler behavior. Resistance to routines can occur at various stages of childhood and is often influenced by individual temperament and environmental factors.

B. Frequent negative responses: Toddlers are known for their frequent negative responses, often referred to as the "terrible twos." This behavior is a normal part of their development as they assert their independence and test boundaries. It is a way for them to express their growing sense of self and autonomy.

C. Less emotionally labile: Toddlers are actually more emotionally labile, meaning they experience rapid and intense emotional changes. They are still learning to regulate their emotions, so mood swings and emotional outbursts are common at this age.

D. Increased dependency: While toddlers do seek comfort and reassurance from their caregivers, they are also striving for independence. Increased dependency is not typical; instead, they often exhibit behaviors that show their desire to do things on their own and explore their environment.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

Correct Answer is B

Explanation

A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?

Correct Answer is B

Explanation

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