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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weighing the child: This can be done safely without causing airway obstruction, though it is not the priority in respiratory distress.
B. Assessing the child's vital signs: Necessary to monitor the child's condition and does not exacerbate epiglottitis.
C. Inspecting the child's mouth and throat with a tongue blade: This is contraindicated as it can cause airway spasm and complete obstruction in a child with epiglottitis.
D. Listening to the child's lungs: Safe and part of the assessment for respiratory distress.
Correct Answer is C
Explanation
A. Place the child in a sitting position and tilt her head back: Tilting the head back risks blood aspiration or swallowing, which can cause nausea or vomiting.
B. Apply ice at the opening of the nares for 5 minutes and then re-check for bleeding: Ice may help, but direct pressure is the first-line intervention.
C. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min: This is the appropriate action to stop bleeding and prevent blood from entering the airway or stomach.
D. Place the child in a supine position with a pillow under her head: This position is unsafe as it can lead to blood pooling in the back of the throat.
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