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. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic.
B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child.
C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care.
D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure.

A. Dietitian B. Occupational therapist C. Speech-language pathologist D. Physical therapist

Correct Answer is A

Explanation

A. Nutritional management is crucial in cystic fibrosis due to malabsorption issues.
A dietitian can provide guidance on appropriate dietary intake and may recommend enzyme replacement therapy.
B. Occupational therapists may assist with activities of daily living, but their primary role may not be as critical initially as nutritional management.
C. Speech-language pathologists primarily focus on speech and swallowing disorders, which may not be the primary concern at the time of admission.
D. Physical therapists may assist with physical activity and mobility, but their primary role may not be as critical initially as nutritional management.

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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 preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Correct Answer is C

Explanation

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Correct Answer is A

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