Select all that apply.
Which of the following are nursing interventions for a child with croup?
Administer oxygen therapy as needed.
Position the child upright to facilitate breathing.
Provide humidified air to help loosen secretions.
Encourage the child to drink plenty of fluids to prevent dehydration.
Monitor the child's respiratory status closely.
Correct Answer : A,B,C,E
Choice A rationale:
Administering oxygen therapy is essential in cases of severe croup where the child has difficulty breathing.
Oxygen therapy helps ensure adequate oxygenation, which is crucial in managing respiratory distress.
Choice B rationale:
Positioning the child upright facilitates breathing by allowing the airways to remain open and reducing airway obstruction.
This position helps alleviate symptoms like stridor and allows the child to breathe more comfortably.
Choice C rationale:
Providing humidified air helps loosen secretions and makes it easier for the child to breathe.
Humidification can reduce airway irritation and soothe the inflamed throat, providing relief from croup symptoms.
Choice D rationale:
This choice is incorrect because encouraging the child to drink plenty of fluids is generally good advice for any illness but is not specific to croup.
While it is essential to keep the child hydrated, it is not a direct nursing intervention for managing croup symptoms.
Choice E rationale:
Monitoring the child's respiratory status closely is crucial in assessing the effectiveness of the interventions and identifying any signs of respiratory distress.
Close monitoring allows nurses to make timely decisions and take appropriate actions to maintain the child's respiratory function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
High fever is not a typical symptom of croup.
Croup is often caused by viral infections, and high fever is more commonly associated with bacterial infections.
This choice is incorrect.
Choice B rationale:
Inspiratory stridor is a classic symptom of croup and is caused by the narrowing of the larynx and trachea, leading to a high-pitched sound during inspiration.
This choice is correct.
Choice C rationale:
A barking cough is a distinctive symptom of croup and is caused by inflammation of the larynx and trachea.
This choice is correct.
Choice D rationale:
Wheezing is not a typical symptom of croup.
Wheezing is more commonly associated with conditions like asthma, where there is narrowing of the smaller airways (bronchioles).
This choice is incorrect.
Choice E rationale:
Respiratory distress, indicated by increased work of breathing, is a common symptom of croup.
It can manifest as the use of accessory muscles, intercostal retractions, and nasal flaring.
This choice is correct.
Correct Answer is A
Explanation
The correct answer is choice A, “Your son has croup.”
Choice A rationale:
The symptoms described, including a barking cough, hoarseness, and inspiratory stridor, are classic signs of croup. Croup is a common respiratory condition in young children that leads to swelling of the larynx and trachea, causing the characteristic cough and stridor.
Choice B rationale:
While epiglottitis can present with respiratory distress, it is more commonly associated with high fever, severe sore throat, drooling, and difficulty swallowing, rather than a barking cough and stridor.
Choice C rationale:
Asthma typically presents with wheezing and difficulty exhaling, not the barking cough and inspiratory stridor seen in croup. Additionally, asthma is often associated with a history of allergies or atopic conditions, which are not mentioned in the scenario.
Choice D rationale:
Pneumonia usually presents with fever, cough producing phlegm, and crackles or wheezes on lung auscultation. The clear lungs on auscultation and the absence of productive cough make pneumonia less likely in this case.
In summary, the presentation of a barking cough, hoarseness, and inspiratory stridor in a young child who is in moderate respiratory distress with a recent onset of symptoms is most indicative of croup. This is supported by the age of the child and the clinical findings, which align with the typical presentation of croup.
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