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A nurse is caring for a child with croup in the hospital.
The child is receiving humidified air and nebulized racemic epinephrine.
The nurse monitors the child's respiratory status closely.
Which of the following findings would indicate to the nurse that the child's condition is worsening?

The child's oxygen saturation is 95%.

The child's respiratory rate is 30 breaths per minute.

The child has mild retractions.

The child is able to speak in complete sentences.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

An oxygen saturation level of 95% is within the normal range (normal range is typically 95-100%).

While it is essential to monitor oxygen saturation, this value does not indicate worsening of the child's condition.

Choice B rationale:

A respiratory rate of 30 breaths per minute is above the normal range for a child and can indicate respiratory distress.

An increased respiratory rate is a concerning sign, suggesting the child is having difficulty breathing.

This finding indicates the child's condition is worsening and requires prompt attention.

Choice C rationale:

Mild retractions suggest that the child is working harder to breathe but may not necessarily indicate a severe worsening of the condition.

Retractions are a sign of increased respiratory effort but may vary in severity.

Choice D rationale:

A child with croup experiencing severe respiratory distress may not be able to speak in complete sentences due to the difficulty in breathing.

However, the ability to speak in complete sentences alone may not be a definitive indicator of worsening.

Monitoring the respiratory rate and effort is crucial in assessing the child's condition accurately.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale:

Administering oxygen therapy is essential in cases of severe croup where the child has difficulty breathing.

Oxygen therapy helps ensure adequate oxygenation, which is crucial in managing respiratory distress.

Choice B rationale:

Positioning the child upright facilitates breathing by allowing the airways to remain open and reducing airway obstruction.

This position helps alleviate symptoms like stridor and allows the child to breathe more comfortably.

Choice C rationale:

Providing humidified air helps loosen secretions and makes it easier for the child to breathe.

Humidification can reduce airway irritation and soothe the inflamed throat, providing relief from croup symptoms.

Choice D rationale:

This choice is incorrect because encouraging the child to drink plenty of fluids is generally good advice for any illness but is not specific to croup.

While it is essential to keep the child hydrated, it is not a direct nursing intervention for managing croup symptoms.

Choice E rationale:

Monitoring the child's respiratory status closely is crucial in assessing the effectiveness of the interventions and identifying any signs of respiratory distress.

Close monitoring allows nurses to make timely decisions and take appropriate actions to maintain the child's respiratory function.

A. "So, croup is a cold that affects the throat?". B. "Croup can be serious, but it usually goes away on its own.”.. C. "I need to keep my child hydrated and give them over-the-counter fever reducers.”.. D. "I need to take my child to the emergency room if they have trouble breathing.”..

Correct Answer is D

Explanation

Choice A rationale:

This statement does not indicate a complete understanding of croup.

Croup is not just a cold that affects the throat; it specifically involves inflammation of the upper airway.

Choice B rationale:

This statement acknowledges that croup can be serious but usually resolves on its own.

While this is true, it does not encompass the key symptoms and actions the parent should take if the child's condition worsens.

Choice C rationale:

This statement addresses general cold symptoms but does not specifically mention the characteristic symptoms of croup, such as barking cough, hoarseness, and stridor.

Choice D rationale:

This is The correct answer.

It shows an understanding of the symptoms of croup, particularly the mention of having trouble breathing, which is a sign of severe croup that requires medical attention.

Parents should seek emergency medical care if their child experiences difficulty breathing due to croup.

Providing this information demonstrates a comprehensive understanding of the condition.

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A nurse is caring for a child with croup in the hospital.The child is receiving humidified air and nebulized racemic epinephrine.The nurse monitors the child's respiratory status closely.Which of the following findings would indicate to the nurse that the child's condition is worsening?

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Naxlex Comprehensive Predictor Exams

Select all that apply.Which of the following are nursing interventions for a child with croup?

Correct Answer is ["A","B","C","E"]

Explanation

Correct Answer is D

Explanation

A nurse is assessing a 2-year-old child with croup.The child's mother states that the child has had a barking cough for 2 days, which is worse at night.The child also has a fever and is hoarse.Which of the following statements by the nurse is most appropriate?

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?

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.

A nurse is caring for a child with croup.The child's respiratory status is worsening, and they are becoming increasingly agitated.What action should the nurse take?

A nurse is educating parents of a child with croup about the signs and symptoms.Which clinical manifestations should the nurse include in the teaching? Select all that apply.

A nurse is caring for a child with croup in the hospital.The child is receiving humidified air and nebulized racemic epinephrine.The nurse monitors the child's respiratory status closely.Which of the following findings would indicate to the nurse that the child's condition is worsening?

A nurse is educating a parent about the prevention of croup.Which of the following statements should the nurse include in the teaching?

A nurse is caring for a child with croup in the hospital.
The child is receiving humidified air and nebulized racemic epinephrine.
The nurse monitors the child's respiratory status closely.
Which of the following findings would indicate to the nurse that the child's condition is worsening?