A nurse is caring for a pre-school age child who has croup. Which of the following findings should the nurse report to the provider immediately?
Hoarseness
Barky cough
Drooling
Paroxysmal attacks of laryngeal spasm at night
The Correct Answer is C
A. Hoarseness: Hoarseness is a common symptom of croup and is usually not an immediate concern unless accompanied by other severe symptoms.
B. Barky cough: A barky cough is characteristic of croup and is not an indication of immediate concern unless it worsens.
C. Drooling: Drooling can be a sign of respiratory distress and difficulty swallowing, which can indicate a worsening condition such as epiglottitis, a more serious infection that can occur with croup. Drooling is a red flag and requires immediate medical attention.
D. Paroxysmal attacks of laryngeal spasm at night: Paroxysmal attacks (episodes of severe coughing or difficulty breathing) are typical of croup, especially at night, but are usually self-limited and not an immediate cause for concern unless severe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pain: A vaso-occlusive crisis in sickle cell disease occurs when sickled red blood cells block blood flow in small vessels, leading to severe pain, often in the bones, joints, and abdomen. Pain is the hallmark symptom of a vaso-occlusive crisis.
B. Bradycardia: Bradycardia is not typically associated with a vaso-occlusive crisis in sickle cell disease. The child may have an increased heart rate (tachycardia) due to pain, dehydration, or hypoxia.
C. Vomiting: Vomiting is not a direct result of a vaso-occlusive crisis but can occur due to complications such as dehydration or infection.
D. Constipation: Constipation is not a common symptom of a vaso-occlusive crisis. It may occur as a side effect of medications like opioids, which are often used to manage pain in sickle cell patients.
Correct Answer is A
Explanation
A. Squatting increases the return of venous blood flow to the heart: Squatting increases systemic vascular resistance and venous return, which helps to increase oxygenation in children with Tetralogy of Fallot, as it reduces the right-to-left shunting and increases blood flow to the lungs.
B. Squatting in common resting position when a child is tachycardic: While squatting can be used to manage symptoms, this answer is misleading as squatting specifically helps in increasing blood flow and decreasing the symptoms of cyanosis in Tetralogy of Fallot, not just during tachycardia.
C. Squatting decreases arterial blood flow away from the heart: Squatting actually increases blood flow to the heart and lungs by increasing systemic vascular resistance.
D. Squatting increases the workload of the heart: Squatting helps reduce the workload on the heart in Tetralogy of Fallot by improving oxygenation and decreasing cyanosis.
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