A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?
Barking cough
Decreased stridor
Improved hydration
Decreased temperature
The Correct Answer is B
A. A barking cough is a symptom of acute laryngotracheobronchitis and does not indicate treatment effectiveness.
B. Decreased stridor suggests improved airway patency, indicating the effectiveness of the cool mist tent therapy.
C. Improved hydration is important but is not a direct indicator of the effectiveness of the cool mist tent.
D. Decreased temperature may indicate resolution of fever but does not directly reflect the effectiveness of the cool mist tent therapy
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtaining a throat culture may exacerbate airway obstruction and is not a priority.
B. Placing the child in an upright position helps facilitate breathing and is a priority intervention.
C. Visualizing the epiglottis with a tongue depressor can trigger laryngospasm and worsen airway obstruction.
D. Transporting the child for a throat x-ray can delay immediate interventions for airway management.
Correct Answer is D
Explanation
A. Encouraging physical activity is important, but it should be tailored to the child's asthma management plan and individual triggers.
B. Cromolyn sodium is a preventive medication and should be taken as prescribed, not solely in response to symptoms.
C. Peak expiratory flow meter should be used as directed by the healthcare provider, often more frequently than once per week, especially during symptom exacerbations or changes in treatment.
D. Avoiding triggers is a key component of asthma management to prevent exacerbations and improve control.
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