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 C

Explanation

A. "Are you aware that your son will have to be in isolation?": Acute rheumatic fever does not typically require isolation, so this is not the most relevant question.

B. "Has your child had any injuries recently?": This question is not specifically related to acute rheumatic fever, which is caused by a preceding streptococcal throat infection, not injuries.

C. "Has your son had a sore throat recently?": This is the most appropriate question, as acute rheumatic fever is a complication that can follow a streptococcal throat infection, so identifying a history of recent sore throat is key.

D. "Was your son born with this cardiac defect?": Rheumatic fever is an acquired condition, not a congenital defect.

A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received." B. "Do not offer your baby fluids after giving the medication." C. "Digoxin increases your baby's heart rate." D. "Give the correct dose of medication at regularly scheduled times."

Correct Answer is D

Explanation

A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.": If the baby vomits the dose, the caregiver should not repeat the dose unless instructed by the healthcare provider.

B. "Do not offer your baby fluids after giving the medication.": Digoxin can be given with fluids, and withholding fluids is not necessary unless specified by a healthcare provider.

C. "Digoxin increases your baby's heart rate.": Digoxin slows the heart rate, which helps in treating conditions like heart failure or arrhythmias.

D. "Give the correct dose of medication at regularly scheduled times.": Regularity in administration is crucial to maintaining therapeutic drug levels and preventing toxicity.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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