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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["90"]
Explanation
Sure, let’s go through the calculations step by step.
Step 1: Determine the dosage per kilogram. 5 mg/kg
Step 2: Multiply the dosage per kilogram by the client’s weight in kilograms. 5 mg/kg × 18 kg = 90 mg
Step 3: The nurse should administer 90 mg per dose.
So, the nurse should administer 90 mg per dose.
Correct Answer is B
Explanation
Choice A Reason:
Allowing for imaginative play with peers without supervision is not advisable for children with autism spectrum disorder. These children often require structured environments and close supervision to ensure their safety and to help them navigate social interactions. Unsupervised play can lead to misunderstandings, conflicts, or even safety issues. Therefore, this choice is not suitable for the plan of care.
Choice B Reason:
Establishing a reward system for positive behavior is an effective intervention for children with autism spectrum disorder. Positive reinforcement helps in encouraging desirable behaviors and can significantly improve the child’s ability to follow routines and engage in appropriate social interactions. Reward systems can be tailored to the child’s preferences and can include tangible rewards, praise, or other forms of positive reinforcement. This approach is widely supported by research and is considered a best practice in managing behaviors in children with autism.
Choice C Reason:
Providing a flexible schedule that adjusts to the child’s interests may seem beneficial, but it can actually be counterproductive for children with autism spectrum disorder. These children often thrive on routine and predictability. A flexible schedule can create confusion and anxiety, making it difficult for the child to understand what is expected of them. Consistent routines help in reducing anxiety and improving the child’s ability to function in various settings.
Choice D Reason:
Allowing for adjustment of rules to correlate with the child’s behavior is not recommended. Consistent and clear rules are essential for children with autism spectrum disorder. Adjusting rules based on behavior can lead to inconsistency, which can be confusing and stressful for the child. It is important to establish and maintain clear expectations to help the child understand boundaries and develop appropriate behaviors.
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