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
A. Decreased stridor indicates that the airway obstruction is improving, which is a primary goal of treatment for laryngotracheobronchitis.
B. While improved hydration is important, it does not directly measure the effectiveness of the cool mist tent treatment.
C. Decreased temperature can occur for various reasons and is not specific to the treatment of laryngotracheobronchitis.
D. A barking cough is a symptom of laryngotracheobronchitis and its persistence would not indicate improvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Babbling one-syllable sounds is appropriate for a 7-month-old infant and indicates typical language development.
B. Using a unidextrous grasp (using only one hand) could indicate a preference that needs further evaluation. At this age, infants should use both hands equally, and a strong preference for one hand might signal neurological concerns.
C. Fear of strangers is a normal developmental milestone that typically appears around 6-8 months of age.
D. Showing preferences towards foods is typical as infants begin to develop tastes and preferences during the introduction of solid foods.
Correct Answer is B
Explanation
A. Brisk capillary refill is not directly related to the effectiveness of tracheostomy suctioning.
B. Clear breath sounds indicate that secretions have been successfully removed from the airway, making the suctioning effective.
C. Increased respiratory rate could indicate distress or a need for further intervention.
D. Stable oxygen saturation is important but can be maintained by other means and does not solely indicate the effectiveness of suctioning.
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