A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses?
Epiglottitis
Bronchiolitis
Influenza
Croup
The Correct Answer is B
A. Epiglottitis
Epiglottitis typically presents with rapid onset of severe sore throat, high fever, difficulty swallowing, and drooling due to inflammation and swelling of the epiglottis. It is a medical emergency requiring immediate intervention but is less likely to present with the described symptoms.
B. Bronchiolitis
Bronchiolitis commonly occurs in infants and young children, often during the winter months. It is characterized by symptoms such as coughing, wheezing, nasal congestion, fever, and
respiratory distress. The described symptoms, including coughing, nasal congestion, and intermittent fever, align with bronchiolitis.
C. Influenza
Influenza typically presents with symptoms such as fever, cough, sore throat, body aches, and fatigue. While coughing and fever are common symptoms of influenza, the presence of apneic spells is less typical of influenza and more indicative of lower respiratory tract infections like bronchiolitis.
D. Croup
Croup is characterized by a barking cough, hoarseness, and respiratory distress often accompanied by stridor. While croup shares some symptoms with bronchiolitis, such as coughing, the absence of stridor in the description suggests bronchiolitis as a more likely diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Has a fear of strangers: Fear of strangers typically emerges around 6 to 9 months of age as part of normal social development. While it indicates cognitive and emotional growth, it does not necessarily warrant further evaluation unless it is excessive or accompanied by other concerning behaviors.
B. Uses a unidextrous grasp: By 7 months, infants typically develop a more refined pincer grasp, where they can pick up small objects using the thumb and forefinger (bidextrous grasp). A unidextrous grasp (using only one hand) may suggest a delay in fine motor development and could warrant further evaluation by a healthcare provider.
C. Babbles one-syllable sounds: Babbling is a typical milestone in language development for
infants around 6 to 9 months of age. One-syllable babbling is expected at this stage and does not necessarily indicate a need for further evaluation.
D. Shows preferences towards foods: Developing food preferences is part of normal feeding behavior for infants. While it is important to ensure a balanced diet, showing preferences towards certain foods is not typically a cause for concern at this age.
Correct Answer is C
Explanation
A. Poisoning: While poisoning can be a significant concern among adolescents, it is not the
leading cause of death in this age group. Poisoning deaths may occur due to accidental ingestion of toxic substances or intentional overdose, but it is not as common as other causes of death
among adolescents.
B. Drowning: Drowning is a concern, especially during recreational activities such as swimming, but it is not the leading cause of death among adolescents. Proper water safety practices and supervision can help prevent drowning incidents.
C. Unintentional injuries: Unintentional injuries, including motor vehicle accidents, falls, and other accidents, are the leading cause of death among adolescents. Risk-taking behaviors, lack of experience, and peer influence contribute to the high rate of unintentional injuries in this age group.
D. Diseases: While diseases such as cancer, heart disease, and respiratory disorders can affect adolescents, they are not the leading cause of death in this age group. Unintentional injuries,
including those resulting from accidents and trauma, are more common causes of death among adolescents.
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