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 D
Explanation
Rationale:
A. NSAIDs may help with pain but do not treat the underlying inflammation of the facial nerve in Bell’s palsy.
B. Third-generation cephalosporins are antibiotics and are not indicated unless there is a concurrent bacterial infection.
C. Gabapentin is used for neuropathic pain but is not first-line therapy for Bell’s palsy.
D. Prednisone, a corticosteroid, is the most widely accepted empiric treatment for Bell’s palsy. It reduces inflammation and edema of the facial nerve, improving the likelihood of recovery, especially when started early.
Correct Answer is D
Explanation
Rationale:
A. While the newborn liver has some immaturity, the main reason for vitamin K administration is not liver production alone.
B. Hemolysis of fetal red blood cells does not significantly affect coagulation factor levels requiring vitamin K.
C. Newborns receive vitamin K through breast milk or formula, but the immediate postnatal administration is not due to dietary deficiency.
D. Newborns are born with a sterile gut, lacking the intestinal flora that synthesize vitamin K. This predisposes them to vitamin K deficiency and increases the risk of hemorrhagic disease of the newborn, so prophylactic vitamin K is administered shortly after birth.
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