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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
A. Suctioning should be avoided as it can cause trauma to the surgical site.
B. The infant should be fed with a soft, small spoon or syringe to prevent pressure on the surgical site; feeding with a spoon is generally not recommended for the first 48 hours.
C. The infant should be kept in an upright or semi-upright position to minimize risk of aspiration and promote healing after cleft palate surgery.
D. Elbow restraints should be applied to prevent the infant from touching the surgical site and causing trauma, and they should be removed every hour for assessment.
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