An infant who presents with a shrill or high-pitched cry should be evaluated for:
hypocalcemia.
increased intracranial pressure.
upper airway obstruction.
vocal cord paralysis.
The Correct Answer is B
Rationale:
A. Hypocalcemia in infants typically presents with tremors, jitteriness, positive Chvostek or Trousseau signs, and seizures, rather than a shrill cry.
B. A shrill or high-pitched cry is a classic neurologic sign that may indicate increased intracranial pressure (ICP) or central nervous system irritation. Additional signs may include lethargy, irritability, vomiting, and bulging fontanel.
C. Upper airway obstruction usually produces stridor, noisy breathing, or retractions, but not a shrill cry.
D. Vocal cord paralysis may cause a weak, hoarse, or breathy cry, not the high-pitched, shrill cry associated with neurologic issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Cancer is a leading cause of death in childhood but is less common than accidents in adolescents.
B. Motor vehicle crashes are the leading cause of death among adolescents, often due to risky driving behaviors, inexperience, and impaired driving.
C. Drug overdose is a significant concern but ranks below motor vehicle accidents as a cause of death in this age group.
D. Suicide is a major cause of adolescent mortality and increasing in prevalence, but it is second to motor vehicle crashes.
Correct Answer is B
Explanation
Rationale:
A. The varicella vaccine is not indicated after infection, as the child has already developed immunity.
B. Acetaminophen (Tylenol) can be administered to manage fever and discomfort associated with chickenpox. This is supportive care, which is the mainstay of treatment.
C. Retapamulin (Altabax) is a topical antibiotic used for bacterial skin infections, not viral infections like chickenpox.
D. Hydrocortisone cream is generally not recommended for chickenpox lesions due to the risk of secondary infection; soothing measures like calamine lotion or oatmeal baths are preferred for pruritus.
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