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 should indicate to the nurse that the treatment is effective?

Barking cough

Decreased stridor

Decreased temperature

Improved hydration

Answer and Explanation

The Correct Answer is B

Choice A reason: Barking cough is not a finding that indicates the effectiveness of the treatment. Barking cough is a sign of inflammation of the larynx and trachea, which causes a hoarse and harsh sound. It is a common symptom of acute laryngotracheobronchitis, also known as croup.

Choice B reason: Decreased stridor is a finding that indicates the effectiveness of the treatment. Stridor is a high-pitched, wheezing sound that occurs when the airway is narrowed or obstructed. It is a sign of respiratory distress and hypoxia. The cool mist tent helps to humidify and soothe the airway, reducing the swelling and inflammation.

Choice C reason: Decreased temperature is not a finding that indicates the effectiveness of the treatment. Decreased temperature could be a sign of hypothermia or sepsis, which are serious complications that require immediate attention. The normal temperature range for a toddler is 36.5°C to 37.5°C (97.7°F to 99.5°F).

Choice D reason: Improved hydration is not a finding that indicates the effectiveness of the treatment. Improved hydration is a sign of adequate fluid intake and output, which are important for maintaining electrolyte balance and preventing dehydration. However, hydration status does not directly affect the airway inflammation or obstruction.

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Correct Answer is C

Explanation

Choice A reason: Obtaining blood culture specimens is important to identify the causative organism and guide antibiotic therapy, but it is not the priority action for a child who is in respiratory distress. The nurse should first secure the airway and stabilize the child's condition.

Choice B reason: Administering an antipyretic may help lower the fever and reduce discomfort, but it does not address the cause of the dyspnea and drooling, which may indicate epiglottitis. This is a life-threatening condition that requires immediate airway management.

Choice C reason: Preparing for nasotracheal intubation is the priority action for a child who has signs of epiglottitis, as it can prevent airway obstruction and respiratory failure. The nurse should have the equipment and personnel ready for intubation and avoid any stimulation or manipulation of the throat that can trigger laryngeal spasm.

Choice D reason: Inserting an IV catheter is necessary to administer fluids and medications, but it is not the first priority for a child who is in respiratory distress. The nurse should focus on the airway before the circulation.

A. I'm glad my child will have normal bowel movements now. B. I want to learn how to use my child's feeding tube as soon as possible. C. I want to learn how to empty my child's urinary catheter bag. D. I'm glad that my child's ostomy is only temporary.

Correct Answer is D

Explanation

Choice A reason: This statement is incorrect, as the child will not have normal bowel movements immediately after the initial surgery. The surgery involves removing the affected part of the colon and creating a temporary ostomy, which is an opening in the abdomen that allows stool to pass into a bag. The child will need a second surgery to reconnect the bowel and close the ostomy.

Choice B reason: This statement is incorrect, as the child will not need a feeding tube after the initial surgery. The child will be able to eat and drink normally but may need to follow a low-fiber diet to avoid constipation and bowel obstruction.

Choice C reason: This statement is incorrect, as the child will not need a urinary catheter after the initial surgery. The child will be able to urinate normally but may need to drink plenty of fluids to prevent dehydration and urinary tract infections.

Choice D reason: This statement is correct, as the child's ostomy is only temporary and will be closed in a second surgery. The parent should be glad that the child will eventually have a normal bowel function and appearance. The parent should also learn how to care for the ostomy and change the bag until the second surgery.

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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 should indicate to the nurse that the treatment is effective?

Nursing Test Bank

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Explanation

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Correct Answer is D

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