Acute stridor in an infant could be suggestive of:
pneumonia.
epiglottitis.
bronchiolitis.
apnea.
The Correct Answer is B
Rationale:
A. Pneumonia typically causes crackles, wheezing, fever, and cough, but not acute stridor.
B. Epiglottitis is a life-threatening condition in infants and young children that causes acute stridor, drooling, fever, and respiratory distress. Stridor is a hallmark sign of upper airway obstruction in this scenario.
C. Bronchiolitis usually causes wheezing and respiratory distress, but stridor is less common unless severe upper airway involvement occurs.
D. Apnea refers to pauses in breathing and may be associated with cyanosis or bradycardia but does not cause stridor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Intra-articular corticosteroid injections are generally reserved for persistent or severe cases that do not respond to conservative therapy; they are not first-line.
B. COX-2 inhibitors are a type of NSAID but are not typically first-line due to cost and cardiovascular risk considerations in otherwise healthy adolescents.
C. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are the initial pharmacologic treatment for epicondylitis. They reduce inflammation and relieve pain, complementing rest, activity modification, and physical therapy.
D. Oral acetaminophen with codeine is not recommended initially due to risks of opioid use, side effects, and limited anti-inflammatory effects.
Correct Answer is A
Explanation
Rationale:
A. Unconditional confidentiality for adolescents seeking contraception, including emergency contraception like levonorgestrel, is determined primarily by state and federal laws. Providers must follow legal requirements regarding minors’ rights to confidential reproductive healthcare.
B. Facility policies may support confidentiality, but they cannot override state or federal law.
C. While reporting requirements exist for sexual abuse or exploitation, confidentiality may still apply in other contexts depending on the law.
D. Professional guidelines provide ethical recommendations, but legal statutes take precedence in determining whether unconditional confidentiality can be maintained.
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