A nurse is caring for a child with croup and needs to implement nursing interventions.
What interventions are appropriate for a child with croup? Select all that apply.

Administer antibiotics.

Provide cool mist humidification.

Administer bronchodilators.

Administer corticosteroids.

Encourage the child to cough loudly.

Answer and Explanation

Correct Answer : B,C,D

Nursing interventions for a child with croup include providing cool mist humidification, administering bronchodilators, and administering corticosteroids.

Choice A rationale:

Administering antibiotics is not a standard intervention for croup unless there is a secondary bacterial infection present.

Croup is typically caused by viral infections, so antiviral medications might be considered if the cause is identified as a specific virus.

However, antibiotics do not directly address the symptoms of croup.

Choice B rationale:

Providing cool mist humidification is appropriate for a child with croup.

Cool mist helps soothe the inflamed airways and can alleviate respiratory distress by reducing airway edema.

Moist air can make breathing easier for the child.

Choice C rationale:

Administering bronchodilators can be beneficial in the treatment of croup, especially if there is evidence of bronchoconstriction.

Bronchodilators help dilate the airways, making breathing easier for the child.

This intervention can be particularly useful if the child is experiencing wheezing in addition to stridor.

Choice D rationale:

Administering corticosteroids, such as dexamethasone, is a common and evidence-based intervention for croup.

Corticosteroids reduce airway inflammation and edema, leading to symptom improvement.

A single dose of oral corticosteroids is often sufficient to manage croup symptoms effectively.

Choice E rationale:

Encouraging the child to cough loudly is not a recommended intervention for croup.

Coughing forcefully may exacerbate airway irritation and inflammation, worsening the child's symptoms.

Instead, interventions should focus on reducing airway edema and providing respiratory support.

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Correct Answer is C

Explanation

The nurse should assess the degree of airway obstruction to determine the severity of respiratory distress.

Choice A rationale:

Assessing the child's height and weight is important for overall health assessment but does not specifically determine the severity of respiratory distress in croup.

Respiratory distress is primarily evaluated by assessing airway patency, effort of breathing, and oxygenation.

Choice B rationale:

The child's vaccination history is crucial for preventing certain infectious diseases, but it does not directly assess the severity of respiratory distress in croup.

Croup is commonly caused by viral infections such as parainfluenza viruses.

Choice C rationale:

Assessing the degree of airway obstruction is essential in determining the severity of respiratory distress in croup.

Children with croup often present with stridor, a high-pitched sound heard during inspiration, indicating partial airway obstruction.

The severity of stridor, along with signs of increased work of breathing, provides valuable information about the child's respiratory status.

Choice D rationale:

The child's social activities are not directly related to the assessment of respiratory distress in croup.

While social history is important in a comprehensive nursing assessment, it does not provide specific information about the severity of airway obstruction in croup.

A. "I'll give my child plenty of water and juice throughout the day.”.. B. "I'll run a hot shower and let my child sit in the bathroom for a few minutes.”.. C. "I'll use a cool mist humidifier in my child's bedroom.”.. D. "I'll give my child a warm bath to help loosen secretions.”..

Correct Answer is C

Explanation

Choice A rationale:

While giving the child plenty of water and juice is important for hydration, this statement does not address the specific management of croup symptoms.

Choice B rationale:

Running a hot shower and letting the child sit in the bathroom can create a steamy environment, but it is not the most effective way to provide humidified air.

A cool mist humidifier is a more controlled and efficient method for delivering humidified air to the child.

Choice C rationale:

This is The correct answer.

Using a cool mist humidifier in the child's bedroom is an appropriate way to provide humidified air, which can help ease breathing difficulties associated with croup.

Cool mist humidifiers add moisture to the air without heating it, making it easier for the child to breathe and reducing throat irritation.

Choice D rationale:

Giving the child a warm bath may provide some comfort but does not specifically address the need for humidified air, which is crucial in managing croup symptoms.

Providing humidified air helps soothe the inflamed airways and reduce respiratory distress associated with croup.

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A nurse is caring for a child with croup and needs to implement nursing interventions.What interventions are appropriate for a child with croup? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a nursing assessment of a child with croup.What should the nurse assess to determine the severity of respiratory distress?

Correct Answer is C

Explanation

A nurse is teaching the parents of a child with croup about home care management.The nurse explains that it is important to keep the child hydrated and to provide humidified air.Which of the following statements by the parent indicates that they understand the nurse's instructions?

Correct Answer is C

Explanation

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A nurse is caring for a child with croup and needs to implement nursing interventions.
What interventions are appropriate for a child with croup? Select all that apply.