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 would indicate that the treatment has been effective?
Decreased stridor
Decreased temperature
Barking cough
Improved hydration
The Correct Answer is A
Choice A rationale
Acute laryngotracheobronchitis, also known as croup, is a common childhood condition that is usually caused by a viral infection. The main symptom is a distinctive barking cough. A cool mist tent can help to soothe the inflamed airways and reduce stridor, which is a high-pitched,
wheezing sound caused by disrupted airflow. Therefore, decreased stridor would indicate that the treatment has been effective.
Choice B rationale
While a decreased temperature might indicate a resolution of any underlying infection, it is not directly related to the effectiveness of a cool mist tent in treating acute laryngotracheobronchitis.
Choice C rationale
A barking cough is a symptom of acute laryngotracheobronchitis and does not indicate treatment effectiveness.
Choice D rationale
Improved hydration is important but is not a direct indicator of the effectiveness of the cool mist tent.
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Correct Answer is D
Explanation
Choice A rationale
Providing a list of the client’s current medications during the change of shift report is not a part of medication reconciliation. While it is important to communicate about a patient’s medications during shift changes, medication reconciliation is a more comprehensive process that involves comparing the medications a patient is taking with newly ordered medications.
Choice B rationale
Over-the-counter medications should be included in the medication reconciliation report. Over-the-counter medications can interact with prescription medications and affect a patient’s health, so it’s important to include them in medication reconciliation.
Choice C rationale
Medication reconciliation should be performed for a client at discharge from a health care facility. This is a critical step in ensuring the patient continues to take the correct medications at home.
Choice D rationale
Providing a list of the client’s current medications during admission to a health care facility is a part of medication reconciliation. This helps to ensure that the patient’s medications are correctly managed during their stay in the facility.
Correct Answer is A
Explanation
Choice A rationale
Finasteride, a medication used to treat benign prostatic hypertrophy, can cause several side effects, including a decrease in libido or sexual desire.
Choice B rationale
There’s no specific interaction between finasteride and grapefruit juice. Therefore, patients don’t need to avoid grapefruit juice when taking this medication.
Choice C rationale
Finasteride can actually cause a decrease in PSA (prostate-specific antigen) levels. If a patient is having a PSA test, they should tell their doctor they are taking finasteride because it can affect the results.
Choice D rationale
It may take up to six months or more to see the full effects of finasteride. Therefore, patients should not expect to see a response within one week.
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