A nurse is educating parents of a child with croup about the signs and symptoms.
Which clinical manifestations should the nurse include in the teaching? Select all that apply.
High fever.
Inspiratory stridor.
Barking cough.
Wheezing.
Respiratory distress.
Correct Answer : B,C,E
Choice A rationale:
High fever is not a typical symptom of croup.
Croup is often caused by viral infections, and high fever is more commonly associated with bacterial infections.
This choice is incorrect.
Choice B rationale:
Inspiratory stridor is a classic symptom of croup and is caused by the narrowing of the larynx and trachea, leading to a high-pitched sound during inspiration.
This choice is correct.
Choice C rationale:
A barking cough is a distinctive symptom of croup and is caused by inflammation of the larynx and trachea.
This choice is correct.
Choice D rationale:
Wheezing is not a typical symptom of croup.
Wheezing is more commonly associated with conditions like asthma, where there is narrowing of the smaller airways (bronchioles).
This choice is incorrect.
Choice E rationale:
Respiratory distress, indicated by increased work of breathing, is a common symptom of croup.
It can manifest as the use of accessory muscles, intercostal retractions, and nasal flaring.
This choice is correct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
There is no vaccine to prevent croup, but practicing good hand hygiene and avoiding contact with sick people can help reduce the child's risk of getting croup.
Croup is mainly caused by viral infections, so minimizing exposure to viruses is essential in prevention.
Choice B rationale:
Giving a daily dose of vitamin C is not a proven method for preventing croup.
While vitamin C is essential for overall health, it does not specifically prevent croup.
Providing accurate and evidence-based information is crucial in parental education.
Choice C rationale:
Keeping the child's bedroom cool and humid may provide comfort during the illness, but it is not a proven method for preventing croup.
This statement does not contribute significantly to preventive measures against croup.
Choice D rationale:
Using a humidifier in the home can help maintain adequate humidity levels, which may reduce the risk of croup, especially during dry seasons.
Proper humidity can prevent irritation of the upper respiratory tract and decrease the likelihood of developing croup.
Including this information in the teaching is appropriate and beneficial for the parent to know.
Correct Answer is C
Explanation
Choice A rationale:
While giving the child plenty of water and juice is important for hydration, this statement does not address the specific management of croup symptoms.
Choice B rationale:
Running a hot shower and letting the child sit in the bathroom can create a steamy environment, but it is not the most effective way to provide humidified air.
A cool mist humidifier is a more controlled and efficient method for delivering humidified air to the child.
Choice C rationale:
This is The correct answer.
Using a cool mist humidifier in the child's bedroom is an appropriate way to provide humidified air, which can help ease breathing difficulties associated with croup.
Cool mist humidifiers add moisture to the air without heating it, making it easier for the child to breathe and reducing throat irritation.
Choice D rationale:
Giving the child a warm bath may provide some comfort but does not specifically address the need for humidified air, which is crucial in managing croup symptoms.
Providing humidified air helps soothe the inflamed airways and reduce respiratory distress associated with croup.
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