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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The FLACC (Faces, Legs, Activity, Cry, Consolability) pain scale is ideal for assessing pain in toddlers, especially those who are cognitively impaired. It relies on observable behaviors rather than self-report.
B. A visual analog scale requires the patient to rate pain on a linear scale, which is not suitable for a toddler, especially one who is cognitively impaired.
C. While the FACES pain scale is useful for older children who can understand facial expressions, it is not appropriate for toddlers, especially those with cognitive impairments.
D. The CRIES pain scale is primarily used for neonates, not toddlers.
Correct Answer is B
Explanation
A. Furosemide is a diuretic that helps to reduce fluid volume, which would lead to a decrease in venous pressure, not an increase.
B. Furosemide is primarily used to reduce fluid retention (edema). A decrease in peripheral edema indicates that the medication is working effectively.
C. Furosemide can actually cause hypokalemia (low potassium levels) as a side effect.
D. Furosemide is used to improve cardiac output by reducing the fluid overload that puts a strain on the heart.
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