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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

A.

Irritability

B.

Cough findings at 0800

C.

Stridor

D.

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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Related Questions

Correct Answer is C

Explanation

A. A newborn is not a playmate for a 3-year-old, which could lead to unrealistic expectations and frustration when the baby cannot actively engage in play.

B. Preparing the child for changes in their routine helps them adjust better to the arrival of a new sibling, which may affect their daily life, such as parental attention and activities.

C. Providing a doll for the older child to imitate parental behaviors helps them feel included and prepared for their new sibling. This encourages positive sibling interaction, reduces feelings of jealousy, and allows the child to practice nurturing behaviors in a fun, engaging way.

D. Moving the child to a bed before the newborn arrives may increase anxiety and should be done based on the child's readiness rather than waiting for the baby.

Correct Answer is B

Explanation

A. Decreased appetite is more likely to occur with hyperglycemia (high blood sugar), not hypoglycemia.

B. Shakiness is a common sign of hypoglycemia (low blood sugar), which can occur in children with diabetes. Immediate action is required to treat hypoglycemia.

C. Increased capillary refill is a sign of improved circulation, which is not associated with hypoglycemia.

D. Thirst is typically a sign of hyperglycemia, not hypoglycemia.

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