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.
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Correct Answer is D
Explanation
A. The term "blood pressure" can be confusing and scary for a toddler.
B. Asking for permission might not be effective, and "lungs" might be too complex a term.
C. Asking the child to stand still can be challenging and the term "warm" might be unclear.
D. Using simple and clear language, such as "I am going to listen to your heart," helps the child understand the procedure without causing unnecessary anxiety.
Correct Answer is B
Explanation
A. Airborne precautions are not necessary for RSV. Contact and droplet precautions are recommended.
B. Keeping the thermometer in the toddler's room helps prevent cross-contamination and the spread of infection to other patients.
C. Negative air pressure rooms are typically used for airborne pathogens, which are not required for RSV.
D. Allowing the toddler to play in the common room could expose other children to the virus, which is highly contagious.
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