A nurse is caring for a 3-year-old child.
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.
Temperature
Cough findings at 0800
Irritability
Stridor
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A.B"},"D":{"answers":"A"}}
Temperature: Acute laryngotracheobronchitis: ☑️ Pneumonia: ☑️
Both acute laryngotracheobronchitis and pneumonia can present with fever. While croup typically presents with a low-grade fever, pneumonia can also present with fever, though it can sometimes be higher.
Cough findings at 0800: Acute laryngotracheobronchitis: ☑️ Pneumonia: ☐
A "barking" non-productive cough is a classic symptom of acute laryngotracheobronchitis (croup). Pneumonia usually presents with a productive cough rather than a barking one, although it can sometimes be non-productive in children.
Irritability: Acute laryngotracheobronchitis: ☑️ Pneumonia: ☑️
Irritability can be seen in both conditions as a result of discomfort, fever, and difficulty breathing. It is a nonspecific symptom that can occur in many illnesses, including respiratory infections like croup and pneumonia.
Stridor: Acute laryngotracheobronchitis: ☑️ Pneumonia: ☐
Stridor, particularly inspiratory stridor, is a hallmark of acute laryngotracheobronchitis (croup), which involves inflammation of the upper airway causing a characteristic sound during breathing. Stridor is not typically associated with pneumonia, which usually affects the lower respiratory tract and may present with wheezing or crackles instead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide balloons for play. Balloons are a choking hazard for toddlers and should be avoided.
B. Adjust the water heater temperature to 54° C (129.2° F). The recommended safe water heater temperature is around 49° C (120° F) to prevent burns. 54° C (129.2° F) is too high and poses a burn risk.
C. Place screens on all windows. While screens can prevent insects from entering, they do not provide enough protection to prevent a child from falling out. Window guards or stops are more appropriate for preventing falls.
D. Check clothing for loose buttons. Loose buttons can be a choking hazard for toddlers, so it is important to check and secure them properly to prevent accidental ingestion.
Correct Answer is C
Explanation
A. Tea tree: Tea tree oil is known for its antimicrobial properties and is commonly used for skin issues such as acne or fungal infections. It is not typically recommended for relaxation purposes.
B. Eucalyptus: Eucalyptus oil is often used for its respiratory benefits, such as easing congestion and colds. It is stimulating rather than calming and is not commonly recommended for relaxation.
C. Lavender: Lavender oil is widely recognized for its calming and relaxing properties. It is often used to help reduce anxiety, promote relaxation, and improve sleep quality.
D. Jasmine: Jasmine oil is known for its uplifting and energizing properties rather than relaxing. While it has a pleasant scent and can have mood-enhancing effects, it is not specifically recommended for relaxation.
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