A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

Decreased stridor

Improved hydration

Decreased temperature

Barking cough

Answer and Explanation

The Correct Answer is A

Choice A reason:

Decreased stridor: Stridor is a high-pitched, wheezing sound caused by disrupted airflow. In acute laryngotracheobronchitis (croup), stridor is a common symptom due to inflammation and narrowing of the airways. The effectiveness of treatment, such as a cool mist tent, is often indicated by a reduction in stridor, as it suggests that the airway inflammation is decreasing and the airflow is improving.

Choice B reason:

Improved hydration: While maintaining hydration is important in managing croup, it is not a direct indicator of the effectiveness of the cool mist tent treatment. Improved hydration can be achieved through various means, such as oral fluids or intravenous therapy, and does not specifically reflect the reduction of airway inflammation.

Choice C reason:

Decreased temperature: Fever can be a symptom of croup, but a decrease in temperature is not a primary indicator of the effectiveness of the cool mist tent treatment. The main goal of the cool mist tent is to reduce airway inflammation and improve breathing, rather than to control fever.

Choice D reason:

Barking cough: A barking cough is a characteristic symptom of croup. While the cool mist tent can help soothe the airways and reduce coughing, the presence or absence of a barking cough alone is not a definitive indicator of treatment effectiveness. The primary focus is on reducing airway obstruction and improving airflow.

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Correct Answer is A

Explanation

Choice A Reason:

Providing a small electronic toy is an excellent strategy to promote the infant’s growth and development. Electronic toys can stimulate the infant’s senses and encourage cognitive development through lights, sounds, and interactive features. These toys can also help in developing fine motor skills as the infant manipulates buttons and other parts of the toy.

Choice B Reason:

Allowing the infant to stand in the crib is not advisable for a child in a cast for DDH. Standing can put undue pressure on the hips and may interfere with the healing process. It is important to follow medical advice regarding the infant’s physical activity to ensure proper healing and avoid complications.

Choice C Reason:

Changing the infant’s diaper as soon as soiling occurs is good hygiene practice but does not directly promote growth and development. While it is important for the infant’s comfort and to prevent skin irritation, it does not provide the same developmental benefits as interactive toys or activities.

Choice D Reason:

Tying colorful latex balloons to the side of the crib can be visually stimulating for the infant, but it is not the best strategy for promoting growth and development. Balloons can pose a choking hazard if they burst and the pieces are ingested. Additionally, they do not offer the interactive and sensory stimulation that electronic toys provide.

A. I give my child aspirin to reduce his fever. B. I give my child ibuprofen when his muscles are aching. C. I am leaving a humidifier on in my child’s room when he naps. D. I am encouraging my child to drink grapefruit juice.

Correct Answer is A

Explanation

Choice A Reason:

Aspirin is strongly associated with an increased risk of Reye syndrome in children, especially when given during a viral illness like influenza or chickenpox. Reye syndrome is a rare but serious condition that causes swelling in the liver and brain. The use of aspirin in children with viral infections can lead to this condition, making it crucial to avoid aspirin and instead use alternatives like acetaminophen or ibuprofen for fever and pain relief.

Choice B Reason:

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally considered safe for use in children to relieve pain and reduce fever. Unlike aspirin, ibuprofen does not carry the same risk of causing Reye syndrome. Therefore, giving ibuprofen to a child with influenza for muscle aches does not increase the risk of Reye syndrome.

Choice C Reason:

Using a humidifier in a child’s room can help alleviate symptoms of respiratory infections by keeping the air moist, which can soothe irritated airways and reduce congestion. This practice does not increase the risk of Reye syndrome and is generally considered a safe and supportive measure for children with influenza.

Choice D Reason:

Encouraging a child to drink grapefruit juice can be beneficial for hydration and providing essential vitamins. However, it has no direct connection to the risk of Reye syndrome. While grapefruit juice can interact with certain medications, it does not increase the risk of developing Reye syndrome in children with influenza.

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A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

Nursing Test Bank

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