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 A
Explanation
A. Administering albuterol before CPT helps open the airways, making the physiotherapy more effective.
B. Performing CPT immediately after eating can cause discomfort or vomiting; it should be done before meals or 1-2 hours after eating.
C. Percussing each lung segment for 15 minutes is excessive; typically, 3-5 minutes per segment is sufficient.
D. Vibration is usually performed during expirations, not inspirations, to help loosen secretions.
Correct Answer is C
Explanation
A. Offering oral fluids can help keep the child hydrated but does not directly aid in bronchodilation.
B. Oral analgesics may help with pain but do not address airway obstruction or inflammation.
C. Racemic epinephrine nebulizer therapy is effective in reducing airway swelling and providing bronchodilation, improving breathing in croup.
D. Teaching the child to take long, slow breaths can help with calmness but is not as effective in acute bronchodilation.
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