A nurse is caring for a 3-year-old child.
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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The first dose of inactivated poliovirus vaccine is typically administered at 2 months of age, not at 12 months.
B. The first dose of varicella (chickenpox) vaccine is recommended at 12 months of age.
C. Human papillomavirus vaccine is typically administered starting at age 9-11 years, not at 12 months.
D. The first dose of hepatitis B vaccine is typically administered at birth, not at 12 months.
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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