Parents bring a toddler who is 2-1/2 years old to the hospital because of observed difficulty with breathing. The toddler is diagnosed with laryngotracheobronchitis. Which assessment finding does the nurse expect related to the diagnosis?
Wheezing and a barky cough.
Drooling and diaphoresis.
Crackles auscultated in bilateral lower lobes.
Inspiratory stridor heard in the upper airway.
The Correct Answer is D
A. Wheezing is more common in lower airway diseases like asthma.
B. Drooling and diaphoresis are more indicative of epiglottitis.
C. Crackles are associated with lower respiratory tract infections like pneumonia.
D. Inspiratory stridor is a hallmark sign of laryngotracheobronchitis (croup), resulting from upper airway narrowing and inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The anterior outer quadrant of the thigh (vastus lateralis) is the preferred site for IM injections in children under 3 years of age due to the large muscle mass and ease of access.
B. The deltoid muscle is not recommended for IM injections in children under 3 years due to the small muscle mass.
C. The upper outer quadrant of the buttocks is not recommended for IM injections in young children because the sciatic nerve may be at risk.
D. While the thigh is a preferred site, the buttocks is not ideal for young children due to the risk of nerve injury.
Correct Answer is C
Explanation
A. Pyloric stenosis usually causes vomiting and dehydration, not an abdominal mass or hematuria.
B. Nephritic syndrome may cause hematuria but typically presents with edema and hypertension, not an abdominal mass.
C. Wilms' tumor is a common kidney tumor in children and typically presents with a palpable abdominal mass and hematuria (pink-tinged urine).
D. Intussusception typically presents with abdominal pain, vomiting, and "currant jelly" stools, not an abdominal mass or hematuria.
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