A nurse is teaching the parents of a child with croup about home care management.
The nurse explains that it is important to keep the child hydrated and to provide humidified air.
Which of the following statements by the parent indicates that they understand the nurse's instructions?
"I'll give my child plenty of water and juice throughout the day.”..
"I'll run a hot shower and let my child sit in the bathroom for a few minutes.”..
"I'll use a cool mist humidifier in my child's bedroom.”..
"I'll give my child a warm bath to help loosen secretions.”..
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale:
Placing the child on a ventilator might be necessary in severe cases of croup, but it should not be the first action taken.
In this scenario, the child has moderate croup, so less invasive interventions should be attempted first.
Choice B rationale:
Administering medication to help the child's cough and breathing is an appropriate first step in managing moderate croup.
Nebulized epinephrine or corticosteroids are commonly used to reduce airway inflammation and relieve respiratory distress in croup.
This intervention can be effective in improving the child's symptoms and overall condition.
Choice C rationale:
Transferring the child to the ICU for closer monitoring is not immediately necessary in this case of moderate croup.
Such a step might be considered if the child's condition worsens despite initial interventions or if there are signs of severe respiratory distress.
Choice D rationale:
Discharging the child home without appropriate treatment and monitoring would be unsafe, given the child's symptoms and oxygen saturation level.
Immediate intervention and observation are required to ensure the child's respiratory status improves.
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