A nurse is caring for a 3-year-old child.
Temperature
Stridor
Irritability
Cough findings at 0800
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"}}
Temperature: Fever is a common symptom of both acute laryngotracheobronchitis (croup) and pneumonia.
Stridor: Stridor, a high-pitched, wheezing sound, is a classic sign of croup and upper airway obstruction. It is less common in pneumonia.
Irritability: Both croup and pneumonia can cause discomfort and distress in children, leading to irritability.
Cough: A cough, especially a barking cough, is characteristic of croup.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While chicken soup is often considered a comfort food, it's not ideal for an infant with acute diarrhea. It's too heavy and can worsen symptoms.
B. Sugary drinks like white grape juice can actually worsen diarrhea. They can also lead to dehydration due to increased water loss.
C. While applesauce was once recommended as part of the BRAT diet, it's not considered as beneficial as it once was. It's better to offer oral electrolyte solutions.
D. Oral electrolyte solutions (ORS) are specifically designed to replenish fluids and electrolytes lost through diarrhea. They are essential in preventing dehydration.
Correct Answer is D
Explanation
A. Infants with heart failure often experience increased respiratory effort when lying flat. Placing them in a recumbent position can worsen their condition by making it harder to breathe. An upright or semi- upright position is usually preferred to facilitate breathing and digestion.
B. Infants with heart failure often tire easily during feeding due to increased metabolic demands. Prolonged feedings can be exhausting and may lead to insufficient intake. Shorter, more frequent feedings are typically recommended.
C. Crying increases the infant's oxygen consumption and metabolic rate, which can be detrimental for an infant with heart failure. It is essential to prevent crying and distress before feeding.
D. Infants with heart failure often tire easily. A more frequent feeding schedule, such as every 3 hours, allows for smaller, more manageable feedings without overexerting the infant.
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