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 B
Explanation
A. This is within the normal range for a school-age child and does not require immediate reporting.
B. This is a significant amount of drainage and should be reported to the provider as it may indicate ongoing bleeding or fluid accumulation.
C. Serous drainage is expected in the early postoperative period and does not require immediate reporting.
D. Fluctuation in the water-sealed chamber is normal and indicates that the chest tube system is functioning correctly.
Correct Answer is C
Explanation
A. While this might seem positive, a newborn is not a playmate for a 3-year-old. This can lead to unrealistic expectations and disappointment.
B. This is not necessary and might create additional stress for the older child. Changes can be made gradually as needed.
C. This is a helpful suggestion. A doll can help the child understand the newborn's needs and prepare for their role as a big sibling.
D. While changes might occur, it's important to maintain as much consistency as possible in the older child's routine to provide a sense of security.
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