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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Cyanosis with crying: Cyanosis is typically seen in cyanotic heart defects, not in PDA, which is acyanotic.

B. Machine-like murmur: Characteristic of PDA due to continuous blood flow between the aorta and pulmonary artery.

C. Chronic hypoxemia: PDA usually leads to left-to-right shunting, not hypoxemia.

D. Weak pulses: Pulses are typically bounding due to increased blood flow, not weak.

A. Pain B. Bradycardia C. Vomiting D. Constipation

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.

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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?

Nursing Test Bank

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