A nurse is caring for a 3-year-old child.

Exhibits
For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process

Irritability

Cough findings at 0800

Stridor

Temperature

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Both acute laryngotracheobronchitis (croup) and pneumonia can cause irritability in a child due to discomfort from respiratory symptoms and fever.

The presence of a barking, non-productive cough at 0800 is consistent with acute laryngotracheobronchitis (croup), as it is a characteristic symptom. Pneumonia can also present with cough, but it is typically productive and associated with other respiratory symptoms such as dyspnea and crackles.

Stridor, an inspiratory wheezing sound, is a hallmark symptom of acute laryngotracheobronchitis (croup) due to inflammation and narrowing of the upper airway. It is not typically associated with pneumonia.

Fever can occur in both acute laryngotracheobronchitis (croup) and pneumonia. In this case, the tympanic temperatures of 38.1°C and 38.2°C are consistent with both conditions. However, pneumonia may present with higher fevers compared to croup.

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Correct Answer is C

Explanation

A. Furosemide can cause a decrease in potassium levels, so an increase in potassium would not be expected.

B. Furosemide helps improve cardiac output by reducing fluid overload, not decreasing it.

C. A decrease in peripheral edema indicates that the furosemide (a diuretic) is effectively reducing fluid retention, which is a sign that the medication is working.

D. Furosemide typically reduces venous pressure by promoting diuresis, so an increase in venous pressure would indicate a problem.

A. Provide the child with a warm blanket. B. Assess the oral cavity for Koplik spots. C. Initiate airborne precautions. D. Administer aspirin for fever.

Correct Answer is C

Explanation

A. A warm blanket is not a recommended intervention for varicella and does not address the need for infection control.

B. Koplik spots are associated with measles, not varicella.

C. Varicella requires airborne precautions because the virus can be transmitted through respiratory droplets and aerosols.

D. Aspirin should be avoided in children due to the risk of Reye's syndrome, especially with viral infections like varicella.

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A nurse is caring for a 3-year-old child. Exhibits For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?

Correct Answer is C

Explanation

A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?

Correct Answer is C

Explanation

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A nurse is caring for a 3-year-old child.

Exhibits
For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process